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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.

DOI:10.1080/17434440.2023.2170782
PMID:36656563
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。

相似文献

1
Recent advances in catheter devices for patent foramen ovale closure.用于卵圆孔未闭封堵的导管装置的最新进展。
Expert Rev Med Devices. 2023 Jan;20(1):29-34. doi: 10.1080/17434440.2023.2170782. Epub 2023 Jan 24.
2
Transcatheter Closure of Patent Foramen Ovale: Devices and Technique.经导管封堵卵圆孔未闭:器械与技术
Interv Cardiol Clin. 2017 Oct;6(4):555-567. doi: 10.1016/j.iccl.2017.05.001.
3
Patent foramen ovale closure in the management of cryptogenic stroke: a review of current literature and guideline statements.卵圆孔未闭封堵术治疗隐源性卒中:对当前文献和指南的回顾。
Curr Med Res Opin. 2021 Mar;37(3):377-384. doi: 10.1080/03007995.2021.1876648. Epub 2021 Feb 8.
4
The Flatstent versus the conventional umbrella devices in the percutaneous closure of patent foramen ovale.扁平支架与传统伞状装置用于经皮闭合卵圆孔未闭的比较
Catheter Cardiovasc Interv. 2015 May;85(6):1058-65. doi: 10.1002/ccd.25750. Epub 2014 Nov 27.
5
Mid-term results of interventional closure of patent foramen ovale with the Occlutech Figulla Flex II Occluder.使用Occlutech Figulla Flex II封堵器经介入治疗卵圆孔未闭的中期结果。
BMC Cardiovasc Disord. 2016 Nov 10;16(1):217. doi: 10.1186/s12872-016-0391-3.
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Percutaneous suture-based patent foramen ovale closure: A state-of-the-art review.经皮缝线封堵卵圆孔未闭:最新综述。
Trends Cardiovasc Med. 2024 Aug;34(6):404-413. doi: 10.1016/j.tcm.2023.10.004. Epub 2023 Nov 4.
7
Patent foramen ovale with complex anatomy: Comparison of two different devices (Amplatzer Septal Occluder device and Amplatzer PFO Occluder device 30/35).卵圆孔未闭伴复杂解剖结构:两种不同封堵器(Amplatzer 房间隔封堵器和 Amplatzer PFO 封堵器 30/35)的比较。
Int J Cardiol. 2019 Mar 15;279:47-50. doi: 10.1016/j.ijcard.2018.10.053. Epub 2018 Oct 16.
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Percutaneous Closure of a Cribriform Secundum Atrial Septal Defect and Patent Foramen Ovale.经皮闭合筛状继发孔房间隔缺损和卵圆孔未闭。
S D Med. 2021 May;74(5):227-229.
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The role of device closure of patent foramen ovale in patients with cryptogenic stroke.卵圆孔未闭封堵装置在不明原因脑卒中患者中的作用。
J Intern Med. 2020 Oct;288(4):400-409. doi: 10.1111/joim.13143. Epub 2020 Aug 19.
10
Comparison of residual shunt rates in five devices used to treat patent foramen ovale.用于治疗卵圆孔未闭的五种装置的残余分流率比较。
Catheter Cardiovasc Interv. 2014 Sep 1;84(3):455-63. doi: 10.1002/ccd.25453. Epub 2014 Mar 4.

引用本文的文献

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Combined intracardiac echocardiography and pressure-sensing catheter for complex PFO closure: a case report.心脏内超声心动图与压力传感导管联合用于复杂卵圆孔未闭封堵:一例报告
Front Cardiovasc Med. 2025 Jul 23;12:1623207. doi: 10.3389/fcvm.2025.1623207. eCollection 2025.
2
A Novel Patent Foramen Ovale Occluder With Left Clamp Arms: Preclinical Experiment and First-in-Human Study.一种带有左夹臂的新型卵圆孔未闭封堵器:临床前实验和首例人体研究。
JACC Basic Transl Sci. 2025 Apr;10(4):422-433. doi: 10.1016/j.jacbts.2024.11.012. Epub 2025 Feb 5.
3
Clinical research progress on pathogenesis and treatment of Patent Foramen Ovale-associated stroke.
卵圆孔未闭相关性卒中的发病机制与治疗的临床研究进展
Front Neurol. 2025 Apr 11;16:1512399. doi: 10.3389/fneur.2025.1512399. eCollection 2025.
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Biodegradable polymeric occluder with controllable locking structure for closure of atrial septal defect via interventional treatment.具有可控锁定结构的可生物降解聚合物封堵器,用于通过介入治疗闭合房间隔缺损。
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