Recurrence of Right Heart Failure After Heterotopic Tricuspid Intervention: A Conceptual Misunderstanding?
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Date
2020
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Tricento transkatetrāla sirds vārstuļa sistēma (New Valve Technology, Muri, Šveice) ir jauns bikavāls enkurveida sirds vārstulis, kurš tiek ievietots caur femorālo vēnu, izmantojot 24 F ievades sistēmu. Tā dizaina sastāvā ir pārklāts stenta grafts, kas savieno augšējo un apakšējo dobo vēnu ar laterālu izvadu labā priekškambara līmenī. Izejas sastāvā ir bezstenta divlapu tievs cūkas perikardiālais vārstulis, kurš funkcionāli atbilst ektopiskās trikuspidālās vārstules aizstāšanai ar zema spiediena aizvēršanos. Pirmo implantāciju cilvēkam publicēja Stefans Togveilers (Stefan Toggweiler) ar saviem kolēģiem 2008. gadā. Kopumā šobrīd pasaulē ir salīdzinoši neliela pieredze, izmantojot šo jauno terapeitisko metodi.
The Tricento transcatheter heart valve system (New Valve Technology, Muri, Switzerland) is a novel bicavally anchored heart valve that is deployed through femoral venous access using a 24-F delivery system. The design consists of a covered stent graft connecting the superior and inferior caval veins with a lateral outlet at the level of the right atrium. The outlet consists of a stentless bileaflet thin porcine pericardial valve. This corresponds functionally to an ectopic tricuspid valve replacement with a low pressure closing. First-in-man implantation was published by Stefan Toggweiler and colleagues in 2008. Up to now, only scarce worldwide experience exists concerning this novel therapeutic approach.
The Tricento transcatheter heart valve system (New Valve Technology, Muri, Switzerland) is a novel bicavally anchored heart valve that is deployed through femoral venous access using a 24-F delivery system. The design consists of a covered stent graft connecting the superior and inferior caval veins with a lateral outlet at the level of the right atrium. The outlet consists of a stentless bileaflet thin porcine pericardial valve. This corresponds functionally to an ectopic tricuspid valve replacement with a low pressure closing. First-in-man implantation was published by Stefan Toggweiler and colleagues in 2008. Up to now, only scarce worldwide experience exists concerning this novel therapeutic approach.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
sirds labās puses mazspēja; sistoliskais kolapss; Tricento, right heart failure; systolic collapse; Tricento