远距离辐射接入为周膜心室隔膜缺陷关闭闭
Charlotte Johanna Cool1, Achmad Fauzi Yahya1, Dian Larasati Munawar2
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
JACC. Case reports
|January 21, 2026
概括
远距离辐射接入 (DRA) 为周膜室隔膜缺陷 (pmVSD) 关闭提供了一种安全有效的替代方案. 这种方法可以减少并发症,并改善患者的舒适性,而不是传统的股骨接入.
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:
- 周膜腹腔隔膜缺陷 (pmVSD) 的皮革关闭传统上依赖于大腿动脉接入.
- 腿部接入与血管并发症和延长恢复期的风险有关.
研究的目的:
- 介绍使用远距离辐射接入 (DRA) 的pmVSD关闭的初始案例系列.
- 通过DRA评估单一动脉逆行方法的安全性和有效性,用于pmVSD关闭.
主要方法:
- 八名患有pmVSD的成年患者使用阿姆普拉策管道封闭器II进行了穿皮关闭.
- 在2018年至2024年期间,在两个中心进行了手术,采用单个动脉接入,通过DRA进行逆行方法.
- 缺陷大小从3-6毫米 (右心室) 和5-6毫米 (左心室) 不同.
主要成果:
- 所有患者的技术成功率达到了100%.
- 平均手术持续时间为49.4±7.3分钟.
- 在1年的随访中,观察到完全关闭缺陷,没有残留的分流,没有报告重大并发症.
结论:
- 远距离辐射接入 (DRA) 是穿皮pmVSD关闭的安全有效替代方案.
- 与传统的股骨接入相比,DRA提供了优势,包括较少的血管并发症,更短的住院时间,以及增强的患者舒适度.
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