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1Department of Pediatric Cardiology, Royal Brompton Hospital, London, England.
Circulation
|November 15, 1996
概括
支架狭窄的肺上腺侧关节提供了有效的息选择患者复杂的肺动脉缩和低氧化. 这种干预性心脏病技术改善了大多数研究患者的氧气和和运动能力.
科学领域:
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 对复杂的肺动脉缩症的最佳治疗方法进行了讨论.
- 手术单聚焦并不是普遍接受的.
- 对所有患者来说,双直肠正是不可行的,需要采取缓解策略.
研究的目的:
- 为了评估支架支架狭窄的aortopulmonary附带的有效性,以缓解复杂的肺动脉缩.
- 评估接受这种干预的患者的症状和生理改善.
主要方法:
- 十二名患有复杂肺动脉缩和症状性低氧症的患者接受了狭窄性肺动脉附带体的支架.
- 担保提供至少三个肺部部分,并且可以通过气球扩展.
- 在11名患者中试图部署支架,其中一个患者无法穿过狭窄.
主要成果:
- 大多数患者 (10/11) 获得了优异的息效果.
- 动脉氧和度的平均值显著改善,从64%提高到78% (P < .01).
- 术后早期运动持续时间增加 (P < .01),其中一名患者需要为近闭合的叶片进行手术,另外两名患者经历了晚期脱.
结论:
- 狭窄性肺上腺侧关节的支架为精心挑选的一组复杂肺缩患者提供了优秀的缓解作用.
- 这种干预方法可以显著改善氧化和功能状态.
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