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用于卵圆孔未闭封堵的导管装置的最新进展。

Recent advances in catheter devices for patent foramen ovale closure.

作者信息

Rigatelli Gianluca, Zuin Marco, Rodinò Giulio, Marchese Giuseppe, Pasquetto Giampaolo

机构信息

Interventional Cardiology Unit, Division of Cardiology, Ospedali Riuniti Padova Sud, Padova, Italy.

Department of Translational Medicine, University of Ferrara, Ferrara, Italy.

出版信息

Expert Rev Med Devices. 2023 Jan;20(1):29-34. doi: 10.1080/17434440.2023.2170782. Epub 2023 Jan 24.

Abstract

INTRODUCTION

Over the last 5 years, the armamentarium of the interventional cardiologist dealing with percutaneous closure of patent foramen ovale (PFO) has been enriched by some novel devices and further improvements of existing ones that have or promise to increase the safety and effective closure rate of PFO patients.

AREAS COVERED

This review presents and discusses recent advancements in device design and composition from both technical and clinical perspectives.

EXPERT OPINION

Device technology is continuously evolving. The recent modification of delivery system, device hooking, and composition, as well as the advent of new bioabsorbable materials, is promising to make percutaneous PFO closure devices safer. The search for more effectiveness with possibly less metal behind is still ongoing.

摘要

引言

在过去5年中,用于经皮闭合卵圆孔未闭(PFO)的介入心脏病专家的器械库因一些新型器械以及对现有器械的进一步改进而得到充实,这些改进已经或有望提高PFO患者的安全性和有效闭合率。

涵盖领域

本综述从技术和临床角度介绍并讨论了器械设计和组成方面的最新进展。

专家观点

器械技术在不断发展。输送系统、器械固定和组成的近期改进,以及新型生物可吸收材料的出现,有望使经皮PFO闭合器械更安全。在尽可能减少金属使用的情况下寻求更高有效性的探索仍在进行中。

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