Perkütan paravalvüler kaçak kapatılması: İlk deneyimlerimiz

Amaç: Bu çalışmada, perkütan paravalvüler kaçak tamirindeki ilk deneyimlerimizi sunmayı amaçladık. Gereç ve Yöntem: Çalışmaya 6 hasta alındı. Perkütan kapama için kriterler; 1) Ciddi dispneye yol açan kalp yetersizliği (NYHA sınıf III veya IV), 2) Klinik açıdan önemli hemolitik anemi (transfüzyon gerektiren), 3) Endokardit yokluğu olarak belirlendi. Bulgular: Çalışmaya alınan 6 hastanın 5’inde (%83) başarılı perkütan paravalvüler kaçak kapatma işlemi yapıldı. İki hastaya ikinci kez işlem yapıldı. İşlem sonrası hiçbir hastada akut komplikasyon olmadı. Sonuç: Perkütan paravalvüler kaçak tamiri, yüksek işlem başarı oranı ile uygulanabilmektedir. İşlem uzun sürmekte ve birçok kompleks kateter kulanma deneyimini gerektirmektedir.

Abstract

Aim: In this study, we aimed to present our first clinical experiences in closure paravalvular leak. Material and Method: Six patients were enrolled in this study. The indications for closure of paravalvular leak was defined as 1) hav- ing severe heart failure leading to dyspnea (NYHA class III-IV), 2) Clinically significant hemolytic anemia (requiring blood transfussion) and 3) history of infective endokarditis. Results: The percutaneous closures of paravalvular leak procedure was performed successful in 5 of 6 patients (%83). The second pro- cedure was performed in two patients. No acute complications were noted in patients. Conclusion: Paravalvular prosthetic regurgitation can be performed with relatively high rate of procedural success. The procedure is lengthy, and requiring expertise in a variety of complex catheter techniques.

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Bu Makaleye Atıf Yap

İLKAY, E., KAÇMAZ, F., ÖZER, E., ÖMÜRLÜ, K., AYBEK, T. (2012). Perkütan paravalvüler kaçak kapatılması: İlk deneyimlerimiz. MN Kardiyoloji, Cilt: 19 - Sayı: 2, 61–67. https://ajindex.com/articles/297415

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