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左心室辅助装置患者流出道移植物狭窄的治疗:血管腔内治疗方法。

Treatment of outflow graft stenosis in left ventricular assist device patients: Endovascular approach.

作者信息

Karahan Mehmet, Tola Muharrem, Özdemir Mustafa, Emre Sert Doğan, Sabit Kocabeyoğlu Sinan, Kervan Ümit

机构信息

Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey.

Department of Radiology, Ankara City Hospital, Ankara, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Oct 21;28(4):688-690. doi: 10.5606/tgkdc.dergisi.2020.19888. eCollection 2020 Oct.

DOI:10.5606/tgkdc.dergisi.2020.19888
PMID:33403145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7759035/
Abstract

Left ventricular assist device outflow graft stenosis is a rare, but a lethal complication. Device replacement or thrombolytic treatments are associated with serious mortality and morbidity. Implantation of covered stents is a less invasive option. Herein, we represent a successful stent placement of two cases with outflow graft stenosis, which we performed by leaving the stents on the aortic side of the anastomosis line 5 to 10 mm. This treatment option can be used reliably in cases of stenosis of the outflow graft with part of the stent leaving the aorta.

摘要

左心室辅助装置流出道移植物狭窄是一种罕见但致命的并发症。装置置换或溶栓治疗与严重的死亡率和发病率相关。植入覆膜支架是一种侵入性较小的选择。在此,我们报告了两例流出道移植物狭窄患者成功置入支架的病例,我们通过将支架留在吻合线主动脉侧5至10毫米处进行操作。这种治疗方法可可靠地用于流出道移植物狭窄且部分支架位于主动脉外的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17b6/7759035/b605a4b1f39f/TJTCS-2020-28-4-688-690-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17b6/7759035/53afdab5f075/TJTCS-2020-28-4-688-690-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17b6/7759035/b605a4b1f39f/TJTCS-2020-28-4-688-690-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17b6/7759035/53afdab5f075/TJTCS-2020-28-4-688-690-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17b6/7759035/b605a4b1f39f/TJTCS-2020-28-4-688-690-F2.jpg

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本文引用的文献

1
First successful percutaneous treatment of a totally occluded HeartWare outflow graft: Case report and literature review.首次成功经皮治疗完全闭塞的HeartWare流出道移植物:病例报告及文献综述
Anatol J Cardiol. 2018 May;19(5):341-345. doi: 10.14744/AnatolJCardiol.2018.76736.
2
Interventional Treatment of LVAD Outflow Graft Stenosis by Introduction of Bare Metal Stents.裸金属支架置入术治疗左心室辅助装置流出道移植物狭窄
ASAIO J. 2018 Jan/Feb;64(1):e3-e7. doi: 10.1097/MAT.0000000000000547.
3
Endovascular Stenting of a LVAD Outflow Graft Thrombosis.
左心室辅助装置流出道移植物血栓形成的血管内支架置入术。
ASAIO J. 2017 Jan/Feb;63(1):e3-e5. doi: 10.1097/MAT.0000000000000371.
4
Aortic Outflow Graft Stenting in Patient With Left Ventricular Assist Device Outflow Graft Thrombosis.左心室辅助装置流出道移植物血栓形成患者的主动脉流出道移植物支架置入术
Artif Organs. 2016 Apr;40(4):414-6. doi: 10.1111/aor.12569. Epub 2015 Sep 17.
5
Left ventricular assist device outflow cannula obstruction treated with percutaneous endovascular stenting.经皮血管内支架置入术治疗左心室辅助装置流出道插管梗阻
Circ Heart Fail. 2015 Jan;8(1):229-30. doi: 10.1161/CIRCHEARTFAILURE.114.001891.
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Algorithm for the diagnosis and management of suspected pump thrombus.疑似输液港血栓的诊断和管理算法。
J Heart Lung Transplant. 2013 Jul;32(7):667-70. doi: 10.1016/j.healun.2013.05.002.