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使用Perclose装置在一名接受主动脉双股动脉旁路移植术的患者中实现经导管主动脉瓣置换术后止血：一种新技术

Achieving Hemostasis Posttranscatheter Aortic Valve Replacement in a Patient with Aortobifemoral Bypass Graft Using Perclose Device: A Novel Technique.

作者信息

Ezeh Ebubechukwu, Amro Mohammad, Akhigbe Esiemoghie, Hamilton Mackenzie, Maru Mehrette

机构信息

Internal Medicine Department, Marshall University, Huntington WV, USA.

Internal Medicine Residency, The Palestinian Ministry of Health and Higher Education, State of Palestine.

出版信息

Case Rep Cardiol. 2021 Oct 26;2021:4253570. doi: 10.1155/2021/4253570. eCollection 2021.

DOI:10.1155/2021/4253570
PMID:34745666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8564210/
Abstract

The presence of aortobifemoral bypass graft can complicate vascular access during percutaneous intervention. Choosing an access route for transcatheter aortic valve replacement (TAVR) in this patient population can be challenging. Access options are further limited by the presence of coexisting vascular comorbidities such as extensive peripheral artery diseases in these patients. Adequate preoperative planning to determine the suitability of different access sites is, therefore, very crucial. Our case report shows that the use of Perclose can be a viable option for achieving hemostasis after a direct puncture of an aortobifemoral bypass graft during transfemoral TAVR.

摘要

主动脉双股动脉旁路移植血管的存在会使经皮介入治疗期间的血管通路变得复杂。在这类患者群体中选择经导管主动脉瓣置换术（TAVR）的通路途径具有挑战性。这些患者存在诸如广泛外周动脉疾病等并存血管合并症，这进一步限制了通路选择。因此，进行充分的术前规划以确定不同通路部位的适用性非常关键。我们的病例报告表明，在经股动脉TAVR期间直接穿刺主动脉双股动脉旁路移植血管后，使用Perclose装置可能是实现止血的可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/55602439bf44/CRIC2021-4253570.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/382b1a778833/CRIC2021-4253570.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/cd482a4967a9/CRIC2021-4253570.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/55602439bf44/CRIC2021-4253570.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/382b1a778833/CRIC2021-4253570.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/cd482a4967a9/CRIC2021-4253570.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3541/8564210/55602439bf44/CRIC2021-4253570.003.jpg

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