皮肤穿动脉接入,以关闭心脏病发作后心室隔膜缺陷
Siu-Fung Wong1, Mehdi Eskandari2, James Cockburn1
1Department of Cardiology, Sussex Cardiac Centre, University Hospitals Sussex, Eastern Road, Brighton, BN2 5BE, UK.
概括
跨关动脉关闭是一种可行的方法,用于发作后心室隔膜缺陷 (PiVSD). 这种方法为重症患者的幸存者提供了可接受的周围手术死亡率和良好的长期结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 发心后心室隔膜缺陷 (PiVSD) 是心肌梗塞 (MI) 的罕见致命并发症.
- 传统的穿皮关闭方法增加了程序的复杂性和隔膜组织的应变.
- 交叉关动脉方法提供了潜在的优势,但缺乏报告的安全性和有效性数据.
研究的目的:
- 为了评估皮肤透过的交叉关跨动脉PiVSD关闭的急性安全性和长期疗效.
- 评估一组重症患者的手术成功率和死亡率.
主要方法:
- 从2020年4月到2025年5月,对从2020年4月到2025年5月进行皮肤交叉关动脉PiVSD关闭的患者进行了回顾性审查.
- 数据收集包括程序细节,周边程序,住院和1年死亡率.
- 包括的患者患有并发性心脏病性休克.
主要成果:
- 9名心脏性休克患者接受了手术,中位数在心脏病发作后4天结束.
- 在所有患者中都取得了技术上的成功,在八名患者中显著减少了分流.
- 发生了一例周围手术死亡;住院死亡率为77.8%,心血管原因死亡人数为55.6%.
结论:
- 交叉轴接入是一种技术上可行的方法,用于跨动脉PiVSD关闭.
- 在这种高风险,重病患者群体中,外科手术死亡率是可以接受的.
- 幸存者表现出良好的长期结果,没有进一步的不良事件.
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