Mgbanwe nke Mitral Valve Clinical nke mbụ gara nke ọma

Onye ọrịa ahụ bụ nwanyị dị afọ 74 nke nọ n'ụlọ ọgwụ n'oge na-adịbeghị anya maka nnukwu nkụda mmụọ ekpe ugboro ugboro, yana mgbakasị ahụ na-adịgide adịgide, ọbara mgbali elu, ọrịa shuga na ọrịa ahụike ndị ọzọ. Arụ ọrụ ahụ gara nke ọma site n'ọnọdụ kachasị mma yana nsonaazụ dị mma mgbe usoro gasịrị. A kpochapụrụ regurgitation mitral valve ozugbo usoro ahụ gasịrị na-enweghị ihe mgbochi LVOT. Onye ọrịa ahụ na-agbake nke ọma, ma bufee ya na ngalaba nlekọta ahụike (ICU) gaa na ngalaba izugbe n'echi ya nwere ọrụ obi nkịtị. Achụpụrụ ya n'ụlọ ọgwụ na Disemba 30, 2021. Usoro a na-aga nke ọma tọrọ ntọala siri ike maka usoro ahụike Peijia's HighLife TSMVR n'ọdịnihu na China.              

"Iwepụta 'Valve-in-Ring' pụrụ iche na-eme ka ọ dabara maka ọtụtụ ụdị valvụ mitral dị iche iche." Prọfesọ Mao Chen kwuru. "Ọtụtụ ndị ọrịa agaghị achọ mmechi ntụpọ atrial septal mgbe transseptal puncture na 30F nnyefe catheter, na ihe gbasara nke puru nke nsogbu vaskụla dị ntakịrị. A na-eme usoro a n'okpuru ọkọlọtọ DSA na njikọ echocardiogram, nke ga-akwalite nnabata nke teknụzụ a. Enwere m olileanya na a ga-etinye teknụzụ a n'ọrụ ụlọ ọgwụ ndị ọzọ n'ọdịnihu dị nso iji baara ndị ọrịa nwere regurgitation mitral uru. "

Teknụzụ HighLife na-enye atụmatụ pụrụ iche maka ịgwọ ụkọ valvụ mitral

Transcatheter Mitral Valve Replacement (“TMVR”) na-aga n'ihu na ngalaba ọgwụgwọ ntinye aka nke ọrịa obi arụrụala. Ọmụmụ nchọpụta mmalite egosila nchekwa na ịdị irè nke teknụzụ a. TMVR dabara adaba maka njirimara anatomical sara mbara nke mitral regurgitation (“MR”). Ọ nwere ike belata ma ọ bụ ọbụna kpochapụ regurgitation kpamkpam na nsonaazụ onye ọrịa na-adịkarịgide. Ọzọkwa, TMVR adịchaghị mkpa ma enwere ike ịme ya na ndị agadi ma ọ bụ ndị nwere nnukwu ihe ize ndụ ma e jiri ya tụnyere nnọchi ịwa ahụ.

Agbanyeghị, mpaghara Mitral Valve Replacement ka na-eche ọtụtụ ihe isi ike teknụzụ ihu, gụnyere ịbanye na saịtị ebumnuche, mgbaka na ihe egwu nke leakage paravalvular (“PVL”) na mgbochi LVOT. Ọtụtụ ụzọ dị ugbu a bụ nke na-agafe agafe ma ọ bụ na-agbagide site na iji ike radial. TMVR transapical nwere ike iduga mbelata nke akwara ventricular aka ekpe ma ọ bụ ọbụna ndabara na iti aka ekpe n'ihi mbepụ nke ịwa ahụ. Idochi TMVR na ike radial nwere ike ibute nnukwu valvụ na ihe isi ike na nnyefe, nke nwere ike iduga ngbanwe ntụgharị azụ ventricular aka ekpe. Usoro HighLife TSMVR na-eji echiche "Valve-in-Ring" pụrụ iche nke nwere ike ịnagide nsogbu ndị a nke ọma. Usoro a na-ekewa valvụ na mgbanaka mgbanaka ya ma na-ebuga akụkụ abụọ ahụ site na vein femoral na akwara femoral n'otu n'otu.

Ọ bụ usoro nzọụkwụ atọ dị mfe. Nke mbụ, a na-edobe loop waya nduzi gburugburu mpempe akwụkwọ valvụ nke onye ọrịa na chordae. Nke abuo, a na-akụnye mgbanaka mgbanaka ahụ. N'ikpeazụ, a na-ahapụ valve pericardial bovine na-agbasa onwe ya site na ịnweta transseptal. A na-akụdo valvụ ahụ ewepụtara site na imekọrịta ihe wee rute n'ọnọdụ nha anya yana mgbanaka edobere na mbụ. Nke a na-enye ohere ka valvụ ahụ nọrọ n'ọnọdụ kwụsiri ike na-emebighị anụ ahụ mbụ. Usoro a dị nnọọ mfe n'ihi na usoro ahụ na-eche onwe ya ma na-edozi onwe ya. Nhazi usoro a na-enyere aka ibelata ihe ize ndụ nke ntapu paravalvular ma na-ebelata oke catheter nke ọma. Enwere ike mezue usoro ahụ nke ọma site na iji nkwado teleproctoring.

Peijia Medical gosipụtara ike ya na mmekorita mba ụwa na nka nka

Na Disemba 2020, Peijia Medical batara na nkwekọrịta ikike ya na HighLife SAS, ụlọ ọrụ ngwaọrụ ahụike France, dịka nke HighLife SAS nyere Peijia Medical ikike pụrụiche iji zụlite, rụpụta na ịzụ ahịa ụfọdụ ngwaahịa TMVR na mpaghara Greater China. Emechara mbufe teknụzụ a na nkeji nke atọ nke 2021. Emebere nrụpụta mpaghara nwere ụkpụrụ dị elu na China: ngwaọrụ HighLife mepụtara site na Peijia Medical gafere ule arụmọrụ niile na-egosipụta nke dabara na HighLife SAS. Site na mmalite nke mbufe teknụzụ na ntinye nke mbụ na nyocha ụlọ ọgwụ na China, Peijia Medical were ihe na-erughị otu afọ iji mezue usoro nke gosipụtara ikike ya na mmekorita mba ụwa na nka nka.

Iji mee ka ojiji nke teknụzụ na-edu ụwa a dị ngwa maka abamuru nke ndị ọrịa MR na China, ndị ndụmọdụ Peijia Medical, Prọfesọ Nicolo Piazza na Prọfesọ Jean Buithieu sitere na Mahadum Ahụike Mahadum McGill dị na Canada, na ndị ọkachamara nka si HighLife SAS rụkọrọ ọrụ na Peijia. Medical iji kwado maka nnwale ụlọ ọgwụ a. A na-eduzi ọtụtụ oge ọzụzụ metụtara ngwaọrụ na omume ụlọ ọgwụ na ndị ọkà mmụta obi na China sokwa na-arụsi ọrụ ike na usoro ahụ iji hụ na ntinye nke ọma.

Dr. Nicolo Piazza nwere echiche nke ukwuu maka mmekorita a na ntinye nke ọma. "Enwere m nnọọ obi ụtọ na a kwanyere m ùgwù ịkwado Prọfesọ Mao Chen na ndị otu ya n'ime oge iji mee usoro HighLife TSMVR ma kesaa ahụmahụ m. Usoro na imekọ ihe ọnụ nke Prọfesọ Mao Chen na ndị otu ahụ tụrụ m n'anya. Enwere m nnọọ obi ụtọ maka ịkụnye nke ọma nke usoro TSMVR mbụ na Eshia. Ekwenyere m na usoro HighLife TSMVR nwere ike ịbara ọtụtụ ndị ọrịa uru n'ọdịnihu, ana m atụ anya mmepe siri ike na ngalaba ọgwụgwọ mitral valve. "

Nrube isi n'ọhụụ ya nke "Nraranye na Obi, Ịsọpụrụ Ndụ", Peijia Medical na-agbalịsi ike imeziwanye ndụ ndị ọrịa site na nyocha nkà na ụzụ na nnọgidesi ike ọhụrụ. "Anyị ahụla ọmụmụ ndị ọzọ gbasara ka teknụzụ TMVR si gbasoo ihe ịma aka ndị sitere na mgbagwoju anya anatomi nke mitral valve na ogo ọrịa ahụ. Mgbalị ndị a na-aga n'ihu na-egosi mkpa ọgwụgwọ TMVR dị," Dr. Michael Zhang Yi, onyeisi oche na onye isi oche nke Peijia Medical kwuru. "N'agbanyeghị na ụzọ transseptal bụ ụzọ kachasị mma ma dị mma n'ọtụtụ ụzọ, ọtụtụ teknụzụ TMVR dị ugbu a ka na-eji ụzọ ntụgharị. HighLife SAS bụ onye ndu zuru ụwa ọnụ na teknụzụ TSMVR, yana nsonaazụ nnwale ụlọ ọgwụ na-ekwe nkwa ebipụtara na TCT 2021 na PCR London Valves 2021. Ekele Prọfesọ Mao Chen na Prọfesọ Nicolo Piazza maka mmekorita ha na ntinye mbụ nke Peejia's HighLife System, ntinye nke ọma nke ọma. emekwuola ntụkwasị obi anyị n'ịgwọ ọrịa mitral valvụ site na teknụzụ ntinye aka dị ntakịrị na-emerụ ahụ. Peijia Medical ga-aga n'ihu nraranye anyị maka imepụta ihe ọhụrụ, na-enwe olileanya na ọtụtụ ndị ọrịa China na-arịa ọrịa mitral valve nwere ike irite uru na ọganihu teknụzụ dị otú ahụ. "

Sistemu HighLife TSMVR nke Peijia na-anọchi anya usoro ọgwụgwọ mitral valve nke ọgbara ọhụrụ, nke ga-eme ka ndụ ndị ọrịa China nwere nnukwu MR dịkwuo mma. Nkwenkwe Peijia Medical "itinye ndụ na nchekwa ndị ọrịa n'ihu site n'ịkwalite mmepe nke ọgwụgwọ ọgwụgwọ kachasị mkpa n'ụlọ na ná mba ọzọ" agbanwebeghị.