Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Stead Family Children's Hospital, Iowa City, IA, USA.
Cardiol Young. 2021 Sep;31(9):1525-1527. doi: 10.1017/S1047951121001050. Epub 2021 Mar 26.
Transcatheter closure of ventricular septal defects is considered first-line therapy when anatomically appropriate but is often challenged by proximity to the conduction system in perimembranous defects, or irregular defect shape, especially residual defects that may remain post-operatively. Advancements in device design, however, have allowed for significant improvements in deployment techniques and overall safety. Here we describe the first use of the Lifetech Konar-multifunction™ occluder device in North America, and our specific use of this device to close complex post-operative muscular and a perimembranous-ventricular septal defects in the same patient.
经导管封堵室间隔缺损在解剖结构合适时被认为是一线治疗方法,但在膜周部缺损临近传导系统时或存在不规则缺损形状时(尤其是术后可能残留的缺损),往往具有挑战性。然而,器械设计的进步使得部署技术和整体安全性得到了显著改善。在这里,我们描述了北美首次使用 Lifetech Konar-multifunction™封堵器的情况,并介绍了我们在同一名患者中使用该器械来闭合复杂的术后肌部和膜周部-室间隔缺损的具体情况。