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基于病例的当前全球证据综述:支持Impella辅助下的复杂完全血运重建

Case-Based Review of the Current Global Evidence Supporting Impella-Facilitated Complex and Complete Revascularization.

作者信息

Mahadevan Kalaivani, Strange Julian W

机构信息

Bristol Heart Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.

出版信息

JACC Case Rep. 2019 Dec 18;1(5):869-872. doi: 10.1016/j.jaccas.2019.11.024.

Abstract

A 74-year-old male patient who was admitted with non-ST-segment elevation myocardial infarction, severe left ventricular impairment, severe mitral regurgitation, and full viability who was turned down for surgery underwent high-risk and indicated multivessel stenting with Impella (Abiomed) support. At 6-month follow-up he was angina free, with complete resolution of the mitral regurgitation. ().

摘要

一名74岁男性患者因非ST段抬高型心肌梗死、严重左心室功能不全、严重二尖瓣反流入院,心肌完全存活但手术被拒,遂在Impella(Abiomed)支持下接受了高风险且有指征的多支血管支架置入术。在6个月的随访中,他没有心绞痛症状,二尖瓣反流完全消失。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e17a/8289125/acf708d6bafc/fx1.jpg

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