切割球囊在先心病中狭窄病变的初步应用.ppt

切割球囊在先心病中狭窄病变的初步应用高伟上海儿童医学中心先天性狭窄性血管病变球囊扩张切割球囊支架植入……?外周切割球囊(PeripheralCuttingBalloonTM)可使用切割球囊(非顺应性)进行独立治疗,或结合其它治疗方案切割,缓解环向作用力,然后扩张病变部位阻断病变部位弹性纤维的连续性,降低血管弹性回缩具有柔性扩张与可控扩张球囊直径:5,6,7,8mm,长度::4,,:,配伍导鞘:7F,爆破压:10atm,配伍导丝;(PeripheralCuttingBalloonTM)未扩张时,刀片隐藏在球囊的凹槽内。扩张后刀片凸起将血管内膜和其下弹性组织纵向切开,从而有利于血管再扩张ButeraG,AntonioLT,MassimoC,.〔J〕,67:460~465SudaK,MatsumuraM,HayashiH,parisonofefficacyofmedium-sizedcuttingballoonsversusstandardballoonsfordilationofperipheralpulmonarystenosis.〔J〕.AmJCardiol,2019,97:1060~1063ButeraG,CarminatiM,-balloonangioplastyinahybridsetting:anewapplicationofthehybridApproach.〔J〕InvasiveCardiol,2019,20:E327~E328BergersenLJ,PerrySB,〔J〕.AmJCardiol,2019,91:185~189……病例1,5月,,S/PASD,PAPVC病例2,4岁,12Kg,S/PTOF,LPAStenosis