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支架置入术后及支架内狭窄时的右心室流出道组织学

Right ventricular outflow tract histology post-stenting and in-stent stenosis.

作者信息

Prabhu Sudesh, Mehra Siddhant, Kanaparthi Shravan, Maiya Shreesha Shankar, Rao Sruti

机构信息

Department of Pediatric Cardiac Services, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.

Department of Pediatric Cardiology, Leicester Royal Infirmary, Leicester, England, UK.

出版信息

Ann Pediatr Cardiol. 2022 Mar-Apr;15(2):206-208. doi: 10.4103/apc.apc_231_21. Epub 2022 Aug 19.

DOI:10.4103/apc.apc_231_21
PMID:36246761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9564408/
Abstract

The right ventricular outflow tract (RVOT) stenting is used for the treatment of Fallot-type lesions when not amenable to complete correction or when surgical palliation carries a substantial risk. Despite the increasing clinical application, there is a lack of data that describe the RVOT morphology after stenting. This article elucidates post-RVOT stenting and in-stent stenosis, which is thought to be a zonal phenomenon, in this case, predominantly occurring proximally, in the portion of the stent apposing the RVOT infundibulum.

摘要

右心室流出道(RVOT)支架置入术用于治疗法洛四联症型病变,当无法进行完全矫正或手术姑息治疗存在重大风险时。尽管临床应用日益增多,但缺乏描述支架置入术后RVOT形态的数据。本文阐明了RVOT支架置入术后的情况以及支架内狭窄,支架内狭窄被认为是一种区域性现象,在这种情况下,主要发生在近端,即支架与RVOT漏斗部相对的部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/cb468bb6cf79/APC-15-206-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/8931f8b000a5/APC-15-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/a2393245eba4/APC-15-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/cb468bb6cf79/APC-15-206-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/8931f8b000a5/APC-15-206-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/a2393245eba4/APC-15-206-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ee/9564408/cb468bb6cf79/APC-15-206-g003.jpg

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本文引用的文献

1
Two-stage approach for surgical treatment of tetralogy of Fallot in underweight children: Clinical and morphological outcomes.
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Right ventricular outflow tract stent versus BT shunt palliation in Tetralogy of Fallot.法洛四联症中右心室流出道支架与体肺分流术姑息治疗的比较
Heart. 2017 Dec;103(24):1985-1991. doi: 10.1136/heartjnl-2016-310620. Epub 2017 Aug 16.
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