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经皮肺动脉瓣植入术使用 Venus P-Valve 的中期结果:国际经验。

Medium-term results of percutaneous pulmonary valve implantation using the Venus P-valve: international experience.

机构信息

Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

出版信息

EuroIntervention. 2019 Jan 20;14(13):1363-1370. doi: 10.4244/EIJ-D-18-00299.

Abstract

AIMS

The aim of this study was to assess the international procedural and short-term to midterm experience with the new percutaneous Venus P-valve.

METHODS AND RESULTS

Retrospective data of patient characteristics, clinical and imaging follow-up of Venus P-valve implantation outside China were collected. Thirty-eight patients underwent attempted Venus P-valve implantation between October 2013 and April 2017. Thirty-seven valves were successfully implanted during 38 procedures. There was one unsuccessful attempt and there were two valve migrations, one of which required surgical repositioning. The mean follow-up was 25 months with no short-term or midterm valve failure or deterioration in performance. Frame fractures occurred in 27% of patients. The cohort demonstrated a statistically significant reduction in pulmonary regurgitation fraction and indexed right ventricular diastolic volumes at six and 12 months.

CONCLUSIONS

Implantation of the Venus P-valve has provided satisfactory short-term to midterm results with high success and low complication rates in an inherently challenging patient substrate.

摘要

目的

本研究旨在评估新的经皮 Venus P 瓣在国际上的手术经验以及短期至中期结果。

方法和结果

我们收集了 2013 年 10 月至 2017 年 4 月期间在 Venue P 瓣植入术中国以外地区的患者特征、临床和影像学随访的回顾性数据。38 例患者接受了 Venus P 瓣植入术尝试。在 38 例手术中,成功植入了 37 个瓣膜。有一次尝试不成功,有两次瓣膜移位,其中一次需要手术复位。平均随访时间为 25 个月,无短期或中期瓣膜失效或性能恶化。27%的患者出现了框架骨折。该队列在 6 个月和 12 个月时显示出肺动脉瓣反流分数和右心室舒张末期容积指数显著降低。

结论

在具有挑战性的患者基础上,植入 Venus P 瓣具有令人满意的短期至中期结果,成功率高,并发症发生率低。

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