Shell Kathryn J, Ebeid Makram R, Salazar Jorge D, Dodge-Khatami Ali, Batlivala Sarosh P
School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA Division of Pediatric Cardiology, Batson Children's Hospital, University of Mississippi Medical Center, Jackson, MS, USA.
World J Pediatr Congenit Heart Surg. 2015 Apr;6(2):284-7. doi: 10.1177/2150135114559405.
Pulmonary vein stenosis (PVS) is often progressive and severe. Surgical and percutaneous angioplasty are acutely successful; however, restenosis is common and many patients require multiple reinterventions. We perform intraoperative "hybrid" stent placement to deliver larger, stronger stents. Hybrid stent placement is well described for pulmonary arterial stenosis (PAS). The PAS data demonstrate that smaller stents are associated with rapid in-stent restenosis. Data from PVS in adults demonstrate superior outcomes with larger stents. Hybrid stent placement requires a strong collaborative effort between congenital heart surgeons and interventional cardiologists.
肺静脉狭窄（PVS）通常呈进行性且严重。外科手术和经皮血管成形术短期内效果良好；然而，再狭窄很常见，许多患者需要多次再次干预。我们进行术中“混合”支架置入以植入更大、更坚固的支架。混合支架置入术在肺动脉狭窄（PAS）方面已有详细描述。PAS的数据表明，较小的支架与支架内快速再狭窄相关。来自成人PVS的数据显示，较大的支架效果更佳。混合支架置入需要先天性心脏病外科医生和介入心脏病学家之间密切协作。
