在先天性心脏病中使用 Zephyr 支架:单中心研究

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Pediatric Cardiology Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI:10.4103/apc.apc_78_23
Sudipta Bandyopadhyay, Muthukumaran Chinnaswamy Sivaprakasam
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引用次数: 0

摘要

目前,经皮支架植入术可成功治疗大血管狭窄。Zephyr 支架是一种钴铬外周支架,专为大血管支架植入术而设计。其特殊的 "S "形和 "C "形柔性聚乙烯可防止支架前缩和反冲。我们报告了在儿科人群中使用 Zephyr 的经验及其中期疗效。这项研究共纳入了 19 名使用 21 个 Zephyr 支架治疗的患者。支架植入的适应症包括主动脉共动脉瘤(四名患者)、狭窄的肺动脉(八名患者)、狭窄的右室流出道(五名患者)或导管(一名患者)以及经皮丰坦(一名患者)。所有手术均获得成功。没有一名患者出现与支架相关的并发症。随访期间未发现支架断裂、变形或反冲。中期(1-20 个月)随访显示结果良好。一名患者出现了再狭窄。Zephyr 支架是大血管支架置入术的良好治疗选择。不过,它还需要大规模的研究来进一步证实。
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Use of Zephyr stent in congenital heart diseases: A single-center study.

Large vessel stenosis is currently successfully treated with percutaneous stent implantation. Zephyr stent is a cobalt-chromium peripheral stent specifically designed for large-vessel stenting. Its specific "S-" and "C-" shaped flexible polylinks prevent stent foreshortening and recoil. We report our experience of using Zephyr among the pediatric population and their medium-term outcome. The study included a total of 19 patients treated with 21 Zephyr stents. The indications for stenting included coarctation of the aorta (four patients), stenosed pulmonary artery (eight patients), stenosed right ventricular outflow tract (five patients) or conduit (one patient), and percutaneous Fontan (one patient). All the procedures were successful. None of the patients showed any stent-related complications. Stent fractures, foreshortening, or recoil were not seen during follow-up. Our medium-term (1-20 months) follow-up showed a favorable outcome. One patient developed restenosis. Zephyr stent is a good therapeutic option for large-vessel stenting. However, it needs large-scale studies for further confirmation.

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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
期刊最新文献
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