在患有下静脉卡瓦中断的患者中,为左心室附属物关闭的转肝接入
Pablo D Liva1, Guillermo Eisele2, Marcelo A Agüero1
1Department of Interventional Cardiology, Instituto de Cardiología de Corrientes "Juana Francisca Cabral", Corrientes, Argentina.
JACC. Case reports
|January 21, 2026
概括
跨肝通道提供了一个安全的替代方案,用于左心房附属体封闭 (LAAO) 在患者下静脉中断. 这种方法对于结构性心脏干预中复杂的静脉解剖学至关重要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 结构性心脏干预 结构性心脏干预
背景情况:
- 左心房尾阻塞 (LAAO) 是针对无法使用口服抗凝药的非膜心房患者的中风预防策略.
- 标准的股骨静脉通道通常用于LAAO手术.
研究的目的:
- 在患有先天性下静脉中断的患者中使用跨肝静脉接入来报告成功的LAAO病例.
- 突出复杂的结构性心脏干预中替代静脉通道的可行性和安全性.
主要方法:
- 一名78岁的女性患有非膜性心房动和高出血风险,被转诊接受LAAO.
- 最初的手术由于意外的先天性下静脉中断而被中止.
- 第二次尝试成功地利用了LAAO程序的跨肝静脉通道.
主要成果:
- 对LAAO的跨肝静脉接入方法在没有并发症的情况下成功完成.
- 这表明在标准的股骨接入不可能的情况下,这是一个可行的替代方案.
结论:
- 通过肝接入是LAAO的安全和可行的替代方案,用于下静脉腔异常患者.
- 在结构性干预期间管理复杂的静脉解剖学时,程序前成像和可适应的访问策略至关重要.
相关概念视频
Surface Appendages of Archaea
615
Archaeal surface appendages are highly specialized structures essential for environmental adaptation, encompassing roles in adhesion, biofilm formation, and motility. Among these appendages, pili and archaella stand out for their distinct morphologies and functionalities, enabling archaea to thrive in diverse and often extreme environments.Pili: Adhesion and Biofilm FormationPili are filamentous structures assembled from pilin protein subunits, primarily contributing to adhesion and biofilm...
615
Angle Closure Glaucoma: Treatment
1.2K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.2K
Anatomy of the Heart
119.4K
The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
119.4K
Anatomy of the Circulatory System
97.7K
The human circulatory system consists of blood, blood vessels that carry blood away from the heart, around the body, and back to the heart, and the heart itself, which acts as a central pump. The systemic circuit supplies blood to the whole body, the coronary circuit supplies blood to the heart, and the pulmonary circuit supplies blood flow between the heart and lungs.
97.7K
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
488
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
488
Cardiac Catheterization III: Left Heart Catheterization
611
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
611


