Eber B, Klein W, Fluch N, Dusleag J, Weinrauch V, Rotman B, Gasser R
Kardiologie, Medizinische Universitätsklinik, Graz.
Wien Klin Wochenschr. 1989 Mar 17;101(6):195-8.
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.
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。