Innominate vein occlusion by the fabric of covered stent during transcatheter closure of sinus venosus defects - Causes, management, and outcome.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Pediatric Cardiology Pub Date : 2024-01-01 Epub Date: 2024-05-24 DOI:10.4103/apc.apc_186_23
Kothandam Sivakumar, Pramod Sagar, Puthiyedath Thejaswi, Rajeshkumar Ramaswamy, Ramyashri Chandrasekaran
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Abstract

Transcatheter sinus venosus defect (SVD) closure with covered stents is emerging as an alternative to surgery. An adequate anchor zone in the superior vena cava is mandatory for the stability of the covered stent to prevent caudal embolization. There is a potential risk of innominate vein occlusion by the fabric of the covered stent in patients with a very short superior caval vein. Three among a total of 105 patients who underwent SVD closure at our institution developed innominate vein occlusion. Predisposing anatomical factors, identification and management of occluded innominate vein, and follow-up outcomes are discussed.

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经导管闭合窦静脉缺损过程中覆盖支架织物造成的腹腔静脉闭塞--原因、处理和结果。
使用有盖支架进行经导管窦静脉缺损(SVD)闭合术正在成为手术的一种替代方法。上腔静脉内必须有足够的锚区,以保证覆盖支架的稳定性,防止尾端栓塞。对于上腔静脉很短的患者,覆盖支架的织物有可能造成腹腔静脉闭塞。在我院接受 SVD 闭合术的 105 位患者中,有 3 位出现了腹股沟静脉闭塞。本文讨论了导致腹股沟静脉闭塞的解剖因素、闭塞腹股沟静脉的识别和处理以及随访结果。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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