维纳斯P-门:在5年后的结果
Reem Rashed1,2, Matthew I Jones1, Pimpak Prachasilchai3
1Department of Congenital Cardiology, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
概括
使用VenusP的穿皮肺植入 (PPVI) 对右心室外流通道显示出优异的中期结果. 这种透导管方法为手术提供了一种安全的替代方案,可以持续改善功能.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 穿皮肺植入 (PPVI) 为功能障碍的右心室外流通道 (RVOTs) 提供了一个外科替代方案.
- 维纳斯P是一个自扩张的透导管,专为较大的RVOT设计,直径为24至36毫米.
研究的目的:
- 评估VenusP在接受PPVI的患者中长期的中长期结果.
- 评估患者的结果和VenusP门在治疗严重肺部反时的耐用性.
主要方法:
- 在2013年10月至2018年9月期间,对58名患有严重肺反 (PR) 的患者进行了回顾性审查,这些患者曾尝试使用VenusP进行PPVI.
- 收集的数据包括两个国际中心的患者特征,临床结果,成像结果和随访状态.
主要成果:
- 在96.6%的患者中取得了成功的PPVI;一个失败和一个门迁移需要手术.
- 没有观察到过早或过晚的死亡,门狭窄,严重的PR,传染性内心炎或显著的心室节律失常.
- 电线架骨折发生在23.2%的门中,但没有影响功能. 在程序后6-12个月内,PR和RV数量的显著改善得到了持续.
结论:
- 植入VenusP门显示出优秀的早期和中期结果,没有主要的门相关并发症.
- 门在5-10年的时间内显示了持续的功能益处.
- 需要进行长期跟踪,以充分确定VenusP的性能和寿命.
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