Percutaneous Pulmonary Valve Implantation

Philipp Lurz; Regis Gaudin; Andrew M. Taylor; Philipp Bonhoeffer

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Percutaneous Pulmonary Valve Implantation

机译：经皮肺动脉瓣植入

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Percutaneous pulmonary valve implantation is a new treatment option in patients with dysfunctional conduits. The aim of percutaneous pulmonary valve implantation is to prolong the lifespan of right ventricle to pulmonary artery conduits and thereby postponing open-heart surgery. Early results have shown a significant reduction in right ventricular pressure and right ventricular outflow tract gradient. During a follow-up of a median of 28 months, freedom from re-operation is 93 (2), 86 (3), 84 (4), and 70 (13)% at 10, 30, 50, and 70 months, respectively. The most common complication during follow-up are stent fractures with an incidence around 20%. Although clinically silent in the majority of cases, stent fractures led to re-intervention in the form of implantation of a second device (valve-in-valve). Valvar function during follow-up was well maintained. Significant pulmonary regurgitation was only seen in the context of endocarditis. Pulmonary valve implantation has the potential to become the standard procedure in the treatment of dysfunctional conduits. Bigger challenges will now have to be met in order to extend this technology to patients with native outflow tracts and free pulmonary regurgitation.

机译：经皮肺动脉瓣植入术是导管功能不全患者的新治疗选择。经皮肺动脉瓣植入的目的是延长右心室到肺动脉导管的寿命，从而推迟心脏直视手术。早期结果显示右心室压力和右心室流出道梯度显着降低。在平均28个月的随访期间，在10、30、50和70个月时，再次手术的自由度分别为93（2），86（3），84（4）和70（13）％，分别。随访期间最常见的并发症是支架骨折，发生率约20％。尽管在大多数情况下临床上无声，但支架骨折导致以第二种设备（瓣膜中瓣膜）的植入形式再次介入。随访期间的瓦尔瓦尔功能得到了很好的维持。仅在心内膜炎的情况下才出现明显的肺返流。肺动脉瓣植入术有可能成为功能障碍导管治疗的标准程序。为了将这项技术扩展到具有自然流出道和自由肺关闭不全的患者，现在将不得不面对更大的挑战。

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《Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual》 |2009年第annual期|共6页
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Philipp Lurz; Regis Gaudin; Andrew M. Taylor; Philipp Bonhoeffer;
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中图分类心脏血管和淋巴系外科学;
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1. Percutaneous Pulmonary Valve Implantation Is Earlier Valve Implantation Better? [J] . Aboulhosn Jamil, Levi Daniel S. Circulation. Cardiovascular interventions . 2015,第2期

机译：经皮肺动脉瓣植入术早期瓣膜植入术更好吗？
2. Cost-Analysis of Percutaneous Pulmonary Valve Implantation Compared to Surgical Pulmonary Valve Replacement [J] . Jeffrey E. Vergales, Tanya Wanchek, Wendy Novicoff, Catheterization and cardiovascular interventions: Official journal of the Society for Cardiac Angiography & Interventions . 2013,第7期

机译：经皮肺瓣膜注入的成本分析与外科手术肺瓣膜置换相比
3. Successful Feasibility Human Trial of a New Self-Expandable Percutaneous Pulmonary Valve (Pulsta Valve) Implantation Using Knitted Nitinol Wire Backbone and Trileaflet alpha-Gal-Free Porcine Pericardial Valve in the Native Right Ventricular Outflow Tract [J] . Kim Gi Beom, Song Mi Kyoung, Bae Eun Jung, Circulation. Cardiovascular interventions . 2018,第6期

机译：使用针织Nitinol线骨架和Trilafletα-无血管外皮瓣膜在本地右心室流出道中的成功可行性人体试验植入新的自膨胀性经皮肺瓣膜（Pulsta阀）植入
4. Stent Fracture Prediction in Percutaneous Pulmonary Valve Implantation: A Patient-Specific Finite Element Analysis [C] . D. Cosentino, C. Capelli, G. Pennati, International conference on advancements of medicine and health care through technology . 2011

机译：经皮肺动脉瓣植入术中的支架骨折预测：患者特定的有限元分析
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机译：可植入皮下血管通路经皮穿刺隔膜;经皮穴位瓣膜植入式皮下置入血液置入装置的评价

Percutaneous Pulmonary Valve Implantation

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