TY - Jour A2 - Tebaldi，Matteo Au - Galeczka，Michal Au - Szkutnik，Malgorzata Au - Bialkowski，Jacek Au - Smerdzinski，Sebastian Au - Knop，Mateusz Au - Sukiennik，Adam Au - Fiszer，Roland Py - 2020 /04/29 TI - 老年患者专利导管蛛丝的经截面闭合：初始和一年的后续结果 - 我们有适当的设备吗？SP - 4585124 VL - 2020 AB - 目标。老年患者的专利导管（PDA）是一种罕见的异常，导管本身经常钙化和脆弱;因此，转膜管闭合更困难。目的是分析这些患者在此类患者中的转截管闭合的围截面和一年的后续结果。 方法和结果。回顾性分析≥55岁的33岁的选修患者（中位数63; 56-85; 29名女性），在两位三级中心的2002年至2018年间PDA被封闭。除了三名患者的所有患者均为症状，最多在NYHA II（ N. = 14) and III ( N. = 11) class; pulmonary hypertension ( N. = 22), arterial hypertension ( N. = 22), duct calcifications ( N. = 17), atrial fibrillation ( N. = 15), significant mitral regurgitation ( N. = 5), and decompensated renal failure ( N. = 2) were observed. Different devices were applied depending on PDA morphology; nitinol wire mesh occluders with symmetrical articulating discs have been the most used in recent years ( N. = 11). Follow-up was conducted at an outpatient clinic (28/33 patients). The procedure was successful in all patients. There was one embolisation, followed by implantation of a larger device. No major complications were noted. A small residual shunt was present in echocardiography in one patient after one year. NYHA class improved in all but two patients (with multiple comorbidities). 结论。老年患者的经沟管PDA闭合患者是安全和高效的，具有高完整的闭合率和很少的并发症。Amplatzer管道闭塞器II型是该患者的有吸引力的装置。SN - 0896-4327 UR - https://doi.org/10.1155/2020/4585124 do - 10.1155 / 2020/4585124 jf - 介入心脏病学杂志Pb - Hindawi Kw - ER -