复杂先天性心脏病的镶嵌治疗课件

《复杂先天性心脏病的镶嵌治疗课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、InterventionalCardiacCatheterizationCombinedwithCardiacSurgeryforComplexCongenitalHeartDiseaseZhiweiZhang,MD(张智伟)GuangdongProvincialCardiovascularInstituteThecombinedapproach:AjointprocedureinvolvinginterventionandsurgeryStagedtherapyforcomplexdiseaseProvencl

2、inicaleffectivenessandsafetySomeproceduresevenbecomethestandardtreatmentforspecificcongenitalheartdiseaseTranscatheterinterventionbeforesurgeryIntraoperativetranscatheterintervention(Hybridapproach)TranscatheterinterventionaftersurgeryTranscatheterInterventio

3、nbeforesurgeryTranscatheteratrialseptostomyAortopulmonarycollateralarteriesocclusionAortopulmonaryshuntocclusionRadiofrequencyorLaser-assistedpulmonaryvalvotomyandballoonvalvuloplastyTranscatheteratrialseptostomyTGA/IVSHLHS、MAHRHS、TAPA/IVSTAPVCBASAtrialseptos

4、tomyinafetuswithHLHSRALAAortopulmonarycollateralarteriesocclusionbeforeoperationOcclusionofcollateralsinaTOFcasewithRVOTreconstructionand2dayslaterthecaseunderwentsurgicaltotalcorrectionRadiofrequencyorLaser-assistedpulmonaryvalvotomyandballoonvalvuloplastyPA

5、/IVSEarlyestablishmentofcontinuitybetweentherightventriclewithpulmonarytrunkDecompressivethehypertensiverightventriclePromotegrowthofrightventricleAsalternativetosurgicaltreatmentEffectiveinestablishingRV-PAcontinuityMuchlowerimmediatemortalityandmorbidityImp

6、rovedoutcomeRadiofrequencyorLaser-assistedpulmonaryvalvotomyandballoonvalvuloplasty图片电影IntraoperativetranscatheterinterventionIntraoperativestentingofpulmonaryarteriesorveinsVentriculardeviceclosureofmuscularventricularseptaldefectsPercutaneousapproachtocompl

7、etionoftotalcavopulmonaryconnectionortheFontancircuitHybridapproachinthetreatmentofhypoplasticleftheartsyndromeIntraoperativeStentingofBranchPulmonaryArteriesLimitationsofStentImplantationinCatheterizationLaboratoryLargedeliverysheathsLimitedvascularaccessSma

8、llsizeofpatientsConcommitantsurgicalprocedurerequiredChestX-rayafterprocedureHjortdalVE,EuropeanJournalofCardio-thoracicSurgery22,885–890Withthepatientoncardiopulmonarybypass,astentwasim