经导管心内膜注射植入性海藻酸盐水凝胶治疗心脏再同步化治疗除颤器无应答心力衰竭患者1例Transcatheter endocardial alginate-hydrogel implantation for the treatment of a patient with non-responsive heart failure on cardiac resynchronization therapy defibrillator:a case report
朱存军,王博,高超,沈敏,苏涛,王汝涛,牟方俊,陈晓娜,李飞,陶凌
摘要(Abstract):
心力衰竭是冠心病、结构性心脏病等几乎所有心血管疾病终末阶段。针对终末期心力衰竭,药物及心脏辅助装置治疗作用有限,心脏移植手术存在供体不足与免疫排斥等问题。海藻酸盐水凝胶兼具力学支撑和诱导心脏组织再生修复功能,本中心于2021年3月开展了全球首例在终末期心力衰竭患者行经导管心内膜注射植入性海藻酸盐水凝胶治疗,进行了安全性及可行性的探索,研究结果表明治疗效果良好。鉴于在既往研究中已施行心脏再同步化治疗除颤器(CRT-D)植入的心力衰竭患者均被排除在外,本病例报道1例经导管心内膜注射植入性海藻酸盐水凝胶治疗CRT-D无应答心力衰竭患者治疗情况,术后随访中患者就医次数较前明显减少,生活质量得到显著提高,可能拓展该项技术的应用适应证。
关键词(KeyWords): 心力衰竭;海藻酸盐水凝胶;经导管心内膜介入治疗
基金项目(Foundation): 国家重大科研仪器研制项目(81927805)
作者(Author): 朱存军,王博,高超,沈敏,苏涛,王汝涛,牟方俊,陈晓娜,李飞,陶凌
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