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[2例重度主动脉瓣狭窄患者使用三叶形球囊导管进行再扩张]

[Redilatation with the trefoil balloon catheter in 2 patients with a high degree of aortic stenosis].

作者信息

Eber B, Klein W, Fluch N, Dusleag J, Weinrauch V, Rotman B, Gasser R

机构信息

Kardiologie, Medizinische Universitätsklinik, Graz.

出版信息

Wien Klin Wochenschr. 1989 Mar 17;101(6):195-8.

PMID:2711692
Abstract

Percutaneous transluminal balloon valvuloplasty (PTBV) is successfully applied in the treatment of calcified aortic stenosis. However, results following redilatation have not yet been dealt with in the literature. This method was successfully used in two patients (62a m/70a f) suffering from severe sclerotic aortic stenoses. Redilatation was undertaken in the first case after one month and after four in the second. A second redilatation by balloon catheter was done upon request of the patients after a further nine months. Following this third dilatation both patients suffered from femoral thrombosis which was treated surgically in the second case, while in the first local thrombolysis was done. In the management of the first patient valve replacement had to be performed four months after the last dilatation due to renewed complaints, while the second patient showed no evidence of recurrence within three months after the last dilatation.

摘要

经皮腔内球囊瓣膜成形术(PTBV)已成功应用于钙化性主动脉瓣狭窄的治疗。然而,关于再次扩张后的结果,文献中尚未涉及。该方法成功应用于两名患有严重硬化性主动脉瓣狭窄的患者(一名62岁男性/一名70岁女性)。第一例在一个月后进行了再次扩张,第二例在四个月后进行。九个月后,应患者要求,通过球囊导管进行了第二次再次扩张。第三次扩张后,两名患者均出现股静脉血栓形成,第二例进行了手术治疗,而第一例进行了局部溶栓治疗。在第一例患者的治疗中,由于再次出现症状,在最后一次扩张四个月后不得不进行瓣膜置换,而第二例患者在最后一次扩张三个月内未出现复发迹象。

相似文献

1
[Redilatation with the trefoil balloon catheter in 2 patients with a high degree of aortic stenosis].[2例重度主动脉瓣狭窄患者使用三叶形球囊导管进行再扩张]
Wien Klin Wochenschr. 1989 Mar 17;101(6):195-8.
2
[Balloon valvuloplasty of calcified aortic stenosis is a realistic alternative to surgery: clinical and invasive results 17 months following the 1st or 2d dilatation].[钙化性主动脉瓣狭窄的球囊瓣膜成形术是一种切实可行的手术替代方案:首次或第二次扩张后17个月的临床及介入结果]
Z Kardiol. 1989 Feb;78(2):86-94.
3
[Long-term results of transluminal valvuloplasty in calcified aortic valve stenosis].
Dtsch Med Wochenschr. 1988 May 20;113(20):811-4. doi: 10.1055/s-2008-1067727.
4
[Hemodynamic and clinical results following percutaneous aortic valve valvuloplasty in adults].[成人经皮主动脉瓣成形术后的血流动力学及临床结果]
Z Kardiol. 1990 Jul;79(7):489-98.
5
Valvuloplasty with trefoil and bifoil balloons and the long sheath technique.采用三叶和双叶球囊及长鞘技术进行瓣膜成形术。
Herz. 1988 Feb;13(1):1-13.
6
[Balloon dilatation of congenital aortic stenoses].[先天性主动脉狭窄的球囊扩张术]
Z Kardiol. 1987;76 Suppl 6:91-8.
7
Aortic valve replacement in adults after balloon aortic valvuloplasty.成人球囊主动脉瓣成形术后的主动脉瓣置换术。
Circulation. 1994 Nov;90(5 Pt 2):II205-8.
8
[Results of percutaneous valvuloplasty in calcified aortic stenosis in the adult].[成人钙化性主动脉瓣狭窄经皮瓣膜成形术的结果]
Arch Mal Coeur Vaiss. 1987 Aug;80(9):1351-7.
9
Balloon aortic valvuloplasty in the elderly: useful when there is no alternative.老年患者的球囊主动脉瓣成形术:在没有其他选择时有用。
Isr J Med Sci. 1993 Nov;29(11):692-6.
10
[Balloon catheter valvuloplasty for calcified aortic stenosis in adults. Report of a case and review of the literature].[成人钙化性主动脉瓣狭窄的球囊导管瓣膜成形术。1例报告及文献复习]
Arch Inst Cardiol Mex. 1991 Mar-Apr;61(2):123-7.