对一个HVAD™流出道移植物假性动脉瘤进行血管内支架置入术，该假性动脉瘤对假体的柔软部分施加压迫和扭结狭窄。
Endovascular stenting of an HVAD™ outflow graft pseudoaneurysm that exerts compression and kinking stenosis on the soft portion of the prosthesis.
作者信息
Elbayomi Mohamed, Weyand Michael, Uder Michael, May Matthias S, Steger Katrin, Roth Jan-Peter, Tandler Rene
机构信息
Department of Cardiac Surgery Friedrich-Alexander-University Erlangen-Nuremberg Erlangen Germany.
Department of Radiology Friedrich-Alexander-University Erlangen-Nuremberg Erlangen Germany.
出版信息
Clin Case Rep. 2023 May 18;11(5):e7349. doi: 10.1002/ccr3.7349. eCollection 2023 May.
KEY CLINICAL MESSAGE
Complex presentations of MCS patients may necessitate a multidisciplinary approach involving HF cardiologists, CT surgeons, advanced cardiac imagers, and interventional cardiologists in order to define the optimal management strategy.
ABSTRACT
Left ventricle assist devices (LVADs) provide life-sustaining treatment for patients with terminal heart failure, but their intricacy allows for complications. One complication is LVAD outflow graft obstruction due to the graft's intraluminal thrombus or extraluminal compression. It may be treated endovascularly with stenting. We report an endovascular stenting of an outflow tract in HVAD™ (HeartWare Inc.) due to a pseudoaneurysm causing compression and kinking stenosis.
关键临床信息
对于多系统萎缩（MCS）患者的复杂病情，可能需要多学科方法，包括心力衰竭心脏病专家、心胸外科医生、高级心脏影像专家和介入心脏病专家，以确定最佳管理策略。
摘要
左心室辅助装置（LVADs）为终末期心力衰竭患者提供维持生命的治疗，但因其复杂性可能引发并发症。其中一种并发症是LVAD流出道移植物阻塞，原因是移植物管腔内血栓形成或管腔外受压。可通过血管内支架置入术进行治疗。我们报告了一例因假性动脉瘤导致压迫和扭结狭窄而对HeartWare公司的HVAD™流出道进行血管内支架置入的病例。
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