• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

“倒转郁金香”：房间隔缺损封堵装置的新变形

'Inverted Tulip': New Deformation of Atrial Septal Defect Closure Devices.

作者信息

Velarde-Acosta Kevin, Moscoso Ramirez Josh Yefry, Rojas Paol Jhullian, Ruiz-Esquivel Jorge, Baltodano-Arellano Roberto

机构信息

Clinical Cardiology Department, Hospital Guillermo Almenara Irigoyen - EsSalud Lima, Peru.

Interventional Cardiology Department, Hospital Guillermo Almenara Irigoyen - EsSalud Lima, Peru.

出版信息

US Cardiol. 2025 Jul 9;19:e14. doi: 10.15420/usc.2024.64. eCollection 2025.

DOI:10.15420/usc.2024.64
PMID:40740748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12308144/
Abstract

We present the case of a 45-year-old woman (62 kg, 160 cm) who suffered an ischemic stroke associated with patent foramen ovale (PFO) with high-risk anatomical features. The defect was percutaneously closed using a LifeTech CeraFlex PFO 30 mm × 25 mm device deployed via a 12 Fr sheath after multiple implantation attempts. Following release, the right atrial disc exhibited a concave deformation, termed the 'inverted tulip,' which prolonged the procedure and resulted in a significant residual shunt. The shunt resolved spontaneously at the 1-month echocardiographic follow-up.

摘要

我们报告了一例45岁女性（体重62kg，身高160cm）的病例，该患者患有与卵圆孔未闭（PFO）相关的缺血性中风，且具有高危解剖特征。在多次植入尝试后，通过12F鞘管使用LifeTech CeraFlex 30mm×25mm PFO封堵器经皮闭合缺损。释放后，右心房盘呈现凹形变形，称为“倒郁金香”，这延长了手术时间并导致明显的残余分流。在1个月的超声心动图随访中分流自发消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/f6289b6be5d2/usc-19-e14-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/db558e8c4644/usc-19-e14-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/f52b9eb6f4e9/usc-19-e14-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/fbd3b2166511/usc-19-e14-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/f6289b6be5d2/usc-19-e14-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/db558e8c4644/usc-19-e14-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/f52b9eb6f4e9/usc-19-e14-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/fbd3b2166511/usc-19-e14-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f581/12308144/f6289b6be5d2/usc-19-e14-g004.jpg

相似文献

1
'Inverted Tulip': New Deformation of Atrial Septal Defect Closure Devices.“倒转郁金香”：房间隔缺损封堵装置的新变形
US Cardiol. 2025 Jul 9;19:e14. doi: 10.15420/usc.2024.64. eCollection 2025.
2
Amplatzer or Figulla Flex II Occluder: a comparative study of outcomes after transcatheter patent foramen ovale closure.Amplatzer 或 Figulla Flex II 封堵器：经导管卵圆孔未闭封堵术后结局的对比研究。
J Invasive Cardiol. 2024 Apr;36(4). doi: 10.25270/jic/23.00291.
3
Aortic dilation might be a risk factor for early cardiac perforation after interventional closure of patent foramen ovale: a case report.卵圆孔未闭介入封堵术后早期心脏穿孔的危险因素可能是主动脉扩张：一例报告
Eur Heart J Case Rep. 2025 May 12;9(5):ytaf189. doi: 10.1093/ehjcr/ytaf189. eCollection 2025 May.
4
Patent Foramen Ovale and Stroke: A Review.卵圆孔未闭与卒中：综述
JAMA. 2025 Jul 28. doi: 10.1001/jama.2025.10946.
5
The Closure of Patent Foramen Ovale in Preventing Subsequent Neurological Events: A Bayesian Network Meta-Analysis to Identify the Best Device.卵圆孔未闭封堵术预防后续神经系统事件的效果：贝叶斯网状Meta 分析确定最佳装置
Cerebrovasc Dis. 2020;49(2):124-134. doi: 10.1159/000507317. Epub 2020 Apr 14.
6
Patent foramen ovale transcatheter closure vs. medical therapy on recurrent vascular events: a systematic review and meta-analysis of randomized controlled trials.经导管卵圆孔未闭封堵术与药物治疗复发性血管事件的比较：随机对照试验的系统评价和荟萃分析。
Eur Heart J. 2013 Nov;34(43):3342-52. doi: 10.1093/eurheartj/eht285. Epub 2013 Jul 11.
7
Comparative efficacy and safety of nitinol vs. novel fully biodegradable occluders for transcatheter patent foramen ovale closure in migraine treatment: a retrospective cohort study.镍钛合金封堵器与新型完全可生物降解封堵器用于经导管卵圆孔未闭封堵治疗偏头痛的疗效和安全性比较：一项回顾性队列研究
Front Med (Lausanne). 2025 Jul 2;12:1613687. doi: 10.3389/fmed.2025.1613687. eCollection 2025.
8
Closure versus medical therapy for preventing recurrent stroke in patients with patent foramen ovale and a history of cryptogenic stroke or transient ischemic attack.卵圆孔未闭且有隐源性卒中或短暂性脑缺血发作病史患者预防复发性卒中的封堵治疗与药物治疗对比
Cochrane Database Syst Rev. 2015 Sep 8;2015(9):CD009938. doi: 10.1002/14651858.CD009938.pub2.
9
Pre-interventional transesophageal echocardiography as a reliable predictor of residual shunt following patent foramen ovale closure.介入前经食管超声心动图作为卵圆孔未闭封堵术后残余分流的可靠预测指标。
Clin Res Cardiol. 2025 Jul 24. doi: 10.1007/s00392-025-02713-5.
10
Percutaneous closure of patent foramen ovale in patients with cryptogenic embolism: a network meta-analysis.卵圆孔未闭患者隐源性栓塞的经皮封堵：网状荟萃分析。
Eur Heart J. 2015 Jan 7;36(2):120-8. doi: 10.1093/eurheartj/ehu292. Epub 2014 Aug 11.

本文引用的文献

1
Embolic strokes of undetermined source: a clinical consensus statement of the ESC Council on Stroke, the European Association of Cardiovascular Imaging and the European Heart Rhythm Association of the ESC.不明来源栓塞性脑卒中：ESC 卒中委员会、欧洲心血管影像协会和 ESC 欧洲心律协会的临床共识声明。
Eur Heart J. 2024 May 21;45(19):1701-1715. doi: 10.1093/eurheartj/ehae150.
2
FAST technique: fast atrial sheath traction technique for device closure of atrial septal defects.FAST技术：用于房间隔缺损封堵器闭合的快速心房鞘管牵引技术。
Front Cardiovasc Med. 2023 May 22;10:1155142. doi: 10.3389/fcvm.2023.1155142. eCollection 2023.
3
Preliminary Experience With the New Amplatzer™ Trevisio™ Delivery System in Transcatheter Atrial Septal Defect Closures in Children.
新型Amplatzer™ Trevisio™输送系统用于儿童经导管房间隔缺损封堵术的初步经验
Front Pediatr. 2021 Mar 11;9:641742. doi: 10.3389/fped.2021.641742. eCollection 2021.
4
Cobra-head and other shape-memory abnormalities of nitinol atrial septal occluders: incidence, predisposing factors, and outcomes.镍钛诺房间隔缺损封堵器的 Cobra 头和其他形状记忆异常：发生率、易患因素和结果。
Cardiol Young. 2021 Jun;31(6):949-956. doi: 10.1017/S1047951120004771. Epub 2021 Jan 14.
5
European position paper on the management of patients with patent foramen ovale. General approach and left circulation thromboembolism.欧洲关于卵圆孔未闭患者管理的立场文件。一般方法和左循环血栓栓塞。
Eur Heart J. 2019 Oct 7;40(38):3182-3195. doi: 10.1093/eurheartj/ehy649.
6
An extremely rare malformation of an atrial septal defect closure device and use of a new corrective technique.
Rev Port Cardiol. 2015 Jun;34(6):425.e1-3. doi: 10.1016/j.repc.2014.11.019. Epub 2015 Jun 4.
7
Tulip deformity with Cera atrial septal defect devices: a report of 3 cases.
Pediatr Cardiol. 2015 Feb;36(2):340-3. doi: 10.1007/s00246-014-1011-6. Epub 2014 Sep 2.
8
[Cobra-like deformation of amplatzer devices used for closing atrial septal defects: can it be avoided?].
Rev Esp Cardiol. 2010 Apr;63(4):495-6.
9
[Intracardiac echocardiography and percutaneous closure of atrial septal defects in adults].
Rev Esp Cardiol. 2008 May;61(5):465-70.
10
Persisting eustachian valve in adults: relation to patent foramen ovale and cerebrovascular events.成人持续存在的欧氏瓣：与卵圆孔未闭及脑血管事件的关系
J Am Soc Echocardiogr. 2004 Mar;17(3):231-3. doi: 10.1016/j.echo.2003.12.003.