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自膨胀经导管瓣膜中瓣膜置入术后改良烟囱支架置入后的冠状动脉再入路

Coronary Reaccess After Modified Chimney Stenting in a Self-Expanding Transcatheter Valve-in-Valve.

作者信息

Kim Won-Keun, Frawley Chris, Charitos Efstratios I, Khokhar Arif A

机构信息

Department of Cardiology, Kerckhoff Heart Center, Bad Nauheim, Germany, and German Center for Cardiovascular Research, Partner Site Rhine-Main, Frankfurt am Main, Germany.

Department of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany.

出版信息

JACC Case Rep. 2023 Nov 15;28:102118. doi: 10.1016/j.jaccas.2023.102118. eCollection 2023 Dec 20.

DOI:10.1016/j.jaccas.2023.102118
PMID:38204544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10774812/
Abstract

We demonstrate a modified technique of heterotopic chimney stenting for coronary obstruction during valve-in-valve transcatheter aortic valve replacement With successful end-on cannulation via the stent ostium. Our technique was reproducible on the bench with successful reaccess and without any interaction between the deployed coronary stent and the prosthetic leaflets.

摘要

我们展示了一种用于经导管主动脉瓣置换术中治疗冠状动脉阻塞的改良异位烟囱支架置入技术，通过支架开口成功实现端对端插管。我们的技术在实验台上可重复操作，能够成功再次进入，且已置入的冠状动脉支架与人工瓣膜小叶之间无任何相互影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/a9a3bd19529a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/c61f476b12e9/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/db28f7461152/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/a9a3bd19529a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/c61f476b12e9/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/db28f7461152/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ef/10774812/a9a3bd19529a/gr2.jpg

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JACC Case Rep. 2023 Nov 15;28:102118. doi: 10.1016/j.jaccas.2023.102118. eCollection 2023 Dec 20.
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J Clin Med. 2025 Jul 3;14(13):4709. doi: 10.3390/jcm14134709.

本文引用的文献

1
Coronary access following ACURATE neo implantation for transcatheter aortic valve-in-valve implantation: analysis in patient-specific anatomies.经导管主动脉瓣中瓣植入术在ACURATE neo植入后的冠状动脉入路：针对特定患者解剖结构的分析
Front Cardiovasc Med. 2022 Sep 14;9:902564. doi: 10.3389/fcvm.2022.902564. eCollection 2022.
2
Coronary Access and PCI After Chimney Stenting During Self-Expanding Transcatheter Aortic Valve Replacement in Surgical Bioprosthesis.外科生物瓣经皮自膨胀式主动脉瓣置换术中烟囱支架置入术后的冠状动脉通路与经皮冠状动脉介入治疗
JACC Cardiovasc Interv. 2022 Aug 8;15(15):1585-1589. doi: 10.1016/j.jcin.2022.05.015. Epub 2022 Jun 15.