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Hebei Medical University Second Hospital completed the first billing TAVI surgery

Hebei Medical University Second Hospital completed the first billing TAVI surgery

  • Categories:News Channel
  • Author:
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  • Time of issue:2017-09-30 13:51
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(Summary description)

Hebei Medical University Second Hospital completed the first billing TAVI surgery

(Summary description)

  • Categories:News Channel
  • Author:
  • Origin:
  • Time of issue:2017-09-30 13:51
  • Views:
Information

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  Patient history data
  September 7, Hebei Medical University Second Hospital Liu Su Deqiang team completed the first billing TAVI surgery, the patient was a 74-year-old male, 2 years ago after the activities of tired heart, 2 weeks before admission, diagnosis of severe aorta Stenosis. (Heart over process is unknown) through the Heart Team discussion, decided to use J-Valve? intervention valve TA-TAVI surgery.

 

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  Surgery process
  ▌CTA results show that the aortic valve three-leaf, the valve is extremely calcified, after evaluation and discussion, Heart Team decided to choose 25mm J-Valve? interventional valve.
  ▌ surgery in Hebei Medical University Second Hospital heart hybrid surgery room completed by the internal jugular vein placement of temporary pacing wire. DR to determine the location of the apex puncture, line 3cm minimally invasive incision.

 

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  ▌ Suspension pericardium and apical purse suture. The femoral artery was implanted into the 5F sheath and the liver was placed in the pigtail catheter to the aortic root (ACT> 250s), and the optimal projection angle was obtained.
  ▌ ultrasound and DR guide apical puncture, into the 1.8m J-Tip guide wire to the ascending aorta, into the vascular sheath, using JR4 catheter guide wire across the aortic arch to the descending aorta, replace the 2.6m plus hard guide wire.
  Step 1: rapid ventricular rate of 180 times, BSP 50mmHg when the balloon pre-expansion.
  Step 2: through the apex into the intervening device, transported to the ascending aorta. Release the positioning key, and will pull to the three aortic valve sinus, angiography confirmed positioning key position is correct.
  Step 3: Retract the valve, the stent valve enters the aortic valve area under the guidance of the positioning key.
  Step 4: Rotate the release button, the valve release (due to the self-expanding valve, the whole process without RVP and any hemodynamic fluctuations).
  Step 5: Recover the implant, release the valve, angiography and TEE show the valve position is good, no valve weeks leak. Stitch the apical incision, the apex without bleeding, one by one to close the incision.

 

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  ▌ the whole operation of a total of 20 minutes, after surgery to restore well.
  ▌J-Valve? artificial interventional biological heart valve is a new generation of interventional valve, in April 2017 access to the State Food and Drug Administration approved clinical use, the indications include aortic stenosis, aortic valve insufficiency and aortic stenosis Merger is not complete, is the only one in the world to obtain official approval to treat aortic valve insufficiency of the interventional valve, but also aortic valve disease one-stop solution.

 

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