摘要
目的初步评价使用Parachute系统行经皮心室重建术(PVR)的安全性及有效性。方法 2014年5月底,笔者完成3例PVR并完成1个月随访,本文分析这3例手术的临床效果及并发症,并对初步的操作经验作一总结。结果共入选3例患者,均为男性,年龄(53±5)岁,均为急性前壁心肌梗死后并发室壁瘤及心力衰竭患者。3例患者均成功完成手术,顺利出院。手术时间为(85±18)分钟,X线曝光时间为(11±4)分钟。病例1选用95 mm封堵伞,病例2、病例3均选用85 mm封堵伞。病例1术中出现一过性低血压。余患者均未出现并发症。术后1个月随访时,所有患者症状均得到改善,纽约心脏协会(NYHA)心功能分级均提高1级,6分钟步行距离由(442±80)m提高至(562±50)m,左室射血分数(LVEF)由(40±8)%提升至(50±6)%,左室舒张末容积由(198±59)ml降至(140±44)ml,左室收缩末容积由(120±45)ml降至(72±26)ml。结论笔者初步的经验显示,使用Parachute系统行PVR术是安全、有效的。
Objective To evaluate the safety and efficacy of percutaneous ventricular restoration（PVR） using the Parachute system. Method On May 2014, 3 cases of PVR were completed. The efficacy and complications of operations were analyzed. Result Three male patients（aging 53±5 years） were enrolled, all of them suffered from left ventricular aneurysm and heart failure patients caused by acute anterior myocardial infarction. All patients were successfully implanted devices, operation time was（85±18） minutes, and X rays exposure time was（11±4） minutes. Case 1 of had transient hypotension during the operation. There were no other complications. One month after operation, patients＇ symptoms were all relieved, New York Heart Association（NYHA） cardiac function were improved by 1 grade, and 6 minutes walking distance was increased from（442±80） meters to（562±50） meters. Left ventricular ejection fraction increased from（40±8）% to（50±6）%, left ventricular end diastolic volume decreased from（198±59） ml to（140±44） ml, and left ventricular end systolic volume decreased from（120±45） ml to（72±26） ml. Conclusion Our preliminary experience showed that PVR using Parachute system is safe and effective.
出处
《中国医学前沿杂志（电子版）》
2014年第7期20-23,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
经皮左室重建术
降落伞
心肌梗死
室壁瘤
Percutaneous ventricular restoration
Parachute
Myocardial infarction
Ventricular aneurysm
