立即无波比,用于评估在间接心肌瘤整形术期间的环动脉压缩
Dennis Rottländer1, Milad Golabkesh2, Hubertus Degen2
1Department of Cardiology, Krankenhaus Porz am Rhein, Cologne, Germany; Department of Cardiology, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany.
JACC. Case reports
|January 21, 2026
概括
冠状动脉的压缩是关节解剖手术期间的风险. 即时无波比 (iFR) 有效地评估了Carillon装置植入期间环动脉 (Cx) 压缩的血液动力学影响.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 功能性 mitrale 吐 (FMR) 经常用间接的 mitrale 形术来治疗.
- 卡里隆中枢直径轮系统是用于此过程的设备.
- 冠状动脉的压缩,特别是环动脉 (Cx) 的压缩,是已知的并发症.
研究的目的:
- 在Carillon植入过程中报告Cx压缩的发生率.
- 为了评估即时无波比 (iFR) 在评估Cx压缩的血液动力学意义上的实用性.
- 为了介绍接受Cx压缩和没有Cx压缩的卡里隆植入患者的结果.
主要方法:
- 在2019年1月至2021年12月期间接受治疗的92名患者的回顾性分析.
- 对Cx冲击,压缩和封闭的评估.
- 在5名患有Cx压缩的患者中利用iFR来确定血液动力学相关性.
主要成果:
- 在16.3%的患者中发生了Cx冲击 (15/92).
- 在11.95% (11/92) 观察到Cx压缩,在4.35% (4/92) 观察到完全封闭.
- 由于Cx封闭 (3.26%) 或病理性iFR (1.09%) 的原因,程序被终止.
结论:
- Cx压缩是FMR卡里隆植入的一个显著并发症.
- iFR是评估Cx压缩的血液动力学相关性的一个有价值的工具.
- iFR可以指导程序性决策,包括终止,以防止不利的结果.
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