Pawelec-Wojtalik Małgorzata, Antosik Paweł, Wasiatycz Grzegorz, Wojtalik Michał
Department of Angiography and Haemodynamics, University of Medical Sciences in Poznań, Poznań, Poland.
Eur J Cardiothorac Surg. 2004 Nov;26(5):1044-6. doi: 10.1016/j.ejcts.2004.08.017.
In some patients, so cold hybrid cardiologic procedures are performed whereas a heart is exposed surgically to puncture directly the heart cavity. After performing the interventional procedure, the opening in ventricular wall is closed surgically. We present our initial experience with closing the right ventricular (RV) cavity opening with the muscular ventricular septal defect Amplatzer occluder (A-MVSDO). In four sheep, heart was exposed surgically and punctured under direct vision by needle and guide wire, 14F and 26F sheath were introduced into right ventricle and the A-MVSDO was introduced causing closure of the RV opening. In all four cases, the occluder was successfully placed closing the opening in RV. No major bleeding after occlusion was observed. Following complications were observed: pneumothorax in two animals, rhythm disturbances and thrombus suspected in one. A-MVSDO occluder seems to be a useful device to close RV opening after hybrid interventional cardiologic procedure.
在一些患者中，会进行所谓的“冷杂交”心脏手术，即通过手术暴露心脏以直接穿刺心脏腔室。在完成介入手术后，心室壁上的开口会通过手术关闭。我们展示了使用肌肉型室间隔缺损Amplatzer封堵器（A-MVSDO）关闭右心室（RV）腔室开口的初步经验。在四只绵羊中，通过手术暴露心脏并在直视下用针和导丝进行穿刺，将14F和26F鞘管引入右心室，然后引入A-MVSDO以关闭RV开口。在所有四例中，封堵器均成功放置，关闭了RV开口。封堵后未观察到大出血。观察到以下并发症：两只动物出现气胸，一只动物疑似出现节律紊乱和血栓。A-MVSDO封堵器似乎是杂交介入心脏手术后关闭RV开口的一种有用装置。
