切割气球血管整形治疗耐药儿科动脉狭窄症:一个单一的机构经验
Sean Schoeman1, Marian Gaballah2, Fikadu Worede3
1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA.
Journal of vascular and interventional radiology : JVIR
|January 29, 2026
概括
切割气球血管造形术 (CBA) 是对儿童抗气球性动脉狭窄症 (RAS) 的有前途的治疗方法,显示出显著的临床益处和血压控制. 由于潜在的不良事件,仔细选择患者至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 干预性放射学 干预性放射学
- 血管医学 血管医学
背景情况:
- 儿科患者的动脉狭窄 (RAS) 可能导致血管高血压.
- 对于某些耐药病例,传统的气球血管整形可能不足.
- 切割气球血管造形术 (CBA) 为复杂的RAS提供了一种替代方法.
研究的目的:
- 评估辅助CBA在21岁以下患者的气球耐药RAS管理中的有效性.
- 评估血压控制的主要结果.
- 评估生长的二次结果.
主要方法:
- 对30名患有血管高血压的儿科患者 (35次治疗) 进行了回顾性审查,这些患者接受了血管整形和CBA.
- 分析临床和随访数据,包括血压和动脉尺寸.
- 在常规气球血管整形术后,CBA用于持续性狭窄.
主要成果:
- 对CBA的技术成功率为89% (33/37),其中94%实现了>30%的狭窄改善.
- 临床益处,包括血压控制,在患者中位数为59个月的中位数随访后,在83%的患者中观察到.
- 不良事件发生率为16%,包括中度和重度并发症.
结论:
- 辅助CBA是一种技术上可行的和有前途的选择,用于耐药儿科RAS.
- 该程序在血压管理方面显示出显著的临床益处.
- 由于不良事件的风险,仔细选择患者至关重要.
相关概念视频
Mitral Stenosis I: Introduction
606
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
606
Cut-off Frequency of BJT
1.4K
Cut-off frequencies in Bipolar Junction Transistors (BJTs) mark the transition between the signal's pass band and stop band, influencing their performance in amplifying or attenuating frequencies. These frequencies are crucial for designing BJTs to meet specific operational requirements in electronic circuits.
Alpha Cut-Off Frequency: Pertinent to the common-base configuration, the alpha cut-off frequency defines the upper-frequency limit at which the current gain, alpha, remains stable. As...
Alpha Cut-Off Frequency: Pertinent to the common-base configuration, the alpha cut-off frequency defines the upper-frequency limit at which the current gain, alpha, remains stable. As...
1.4K
Brick Cutting Techniques
637
Brick-cutting techniques involve various tools and methods to shape bricks for construction. A mason's hammer with a chisel-pointed end is used for basic shaping through sharp, precise strikes. For more complex shapes requiring higher precision, a power saw with a water-cooled diamond blade is used.
Cut bricks are categorized by size. Bricks cut to half their original length are called half-bats, while those cut to three-fourths their length are known as three-fourth bats.
Special types of...
Cut bricks are categorized by size. Bricks cut to half their original length are called half-bats, while those cut to three-fourths their length are known as three-fourth bats.
Special types of...
637
What is an Experiment?
18.1K
An experiment is a planned activity carried out under controlled conditions. The purpose of an experiment is to investigate the relationship between two variables. When one variable causes change in another, we call the first variable the explanatory or independent variable. The affected variable is called the response or dependent variable. In a randomized experiment, the researcher manipulates values of the explanatory variable and measures the resulting changes in the response variable. The...
18.1K
Resistivity
4.5K
When a voltage is applied to a conductor, an electrical field is generated, and charges in the conductor feel the force due to the electrical field. The current density that results depends on the electrical field and the properties of the material. In some materials, including metals at a given temperature, the current density is approximately proportional to the electrical field. In these cases, the current density can be modeled as:
4.5K
Resistance
6.0K
When a current moves through any conductor, the conductor causes some level of difficulty for the current to flow. The measure of that difficulty is known as the resistance of the material and is represented by R. Every material has its own resistance. In the case of conductors, heat is emitted whenever a current passes through them. Resistance depends on the resistivity of the material. Resistivity is a characteristic of the material used to fabricate electrical components, whereas the...
6.0K


