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使用覆膜冠状动脉支架减少新生儿动脉导管未闭的血流

Flow reduction of a neonatal stented arterial duct by covered coronary stent.

作者信息

Demir Fadli, Cools Bjorn, Gewillig Marc

机构信息

Department of Pediatric Cardiology, Cukurova University School of Medicine, Adana, Turkey.

Department of Pediatric Cardiology, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

Catheter Cardiovasc Interv. 2015 Aug;86(2):E73-5. doi: 10.1002/ccd.25836. Epub 2015 Feb 3.

DOI:10.1002/ccd.25836
PMID:25601430
Abstract

The final flow rate through a stented duct is variable and depends on stent diameter, ductal length, and ductal tissue protrusion after ductal constriction. Typically after duct stenting, there is initially mild overperfusion which may require some antifailure treatment. Severe heart failure is uncommon, but in some cases flow reduction is required. We present a case of overperfusion after arterial duct stent implantation which was successfully managed with implantation of covered stents.

摘要

通过带支架导管的最终流速是可变的,取决于支架直径、导管长度以及导管收缩后导管组织的突出情况。通常在导管置入支架后,最初会有轻度的灌注过度,这可能需要一些抗失败治疗。严重心力衰竭并不常见,但在某些情况下需要降低流速。我们报告一例动脉导管支架植入术后灌注过度的病例,该病例通过植入覆膜支架成功得到处理。

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