Use of the GORE^(®) DrySeal Flex Introducer Sheath to Facilitate Implantation of the Transcatheter Venus P-valve

作     者：Matthew I.Jones Matthew Murphy Eric Rosenthal Kevin P.Walsh Damien Kenny Shakeel A.Qureshi Gianfranco Butera 

作者机构：Department of Congenital CardiologyEvelina London Children’s HospitalGuy’s&St Thomas’NHS Foundation TrustLondonUK Department of CardiologyMater Misericordiae University HospitalDublinIreland Department of Pediatric CardiologyOur Lady’s Children’s HospitalDublinIreland School of Biomedical Engineering and Imaging SciencesKings CollegeLondonUK 

出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)

年 卷 期：2021年第16卷第3期

页      面：197-203页

核心收录：

学科分类：07[理学] 070204[理学-等离子体物理] 0702[理学-物理学] 

主　　题：Congenital heart disease percutaneous pulmonary valve 

摘      要：Objectives:We report our experience of using the 65 cm large diameter GORE^(®) DrySeal Flex Introducer sheath to facilitate transcatheter implantation of the Venus P-valve in the pulmonary ***:Transcatheter implantation of pulmonary valves can be difficult due to rigidity of the valve delivery system or the anatomy of the RVOT and pulmonary artery bifurcation and the risk of iatrogenic damage to the tricuspid valve support *** long sheaths to pass and protect the tricuspid valve may facilitate the ***:Multi-centre registry of patients who underwent transcatheter pulmonary valve implantation of the Venus P-valve using the GORE^(®) DrySeal Flex introducer sheath to facilitate passage of the valve to the right ventricular outflow *** success,time to valve implantation and radiation safety parameters were *** data were compared to a control group of subjects treated between July 2014 and May 2016 with the same valve but without the use of GORE^(®) ***:Between December 2016 and September 2018,the Venus P-valve was successfully deployed through the GORE^(®) DrySeal in 12 *** were no procedure-related *** a control group,10 subjects treated between July 2014 and May 2016 were *** procedure time was significantly shorter in the GORE^(®) DrySeal group compared to the control group 96±27 min vs.164±12 min(p0.001).Total screening time was significantly shorter in the GORE^(®) DrySeal group(24±11 min)when compared with the control group(32±14 min,p0.001).Conclusions:We describe a modification to the previously described techniques of implanting the Venus P-valve in the pulmonary position after surgical repair of congenital heart *** our experience,the GORE^(®) DrySeal sheath has considerably facilitated the procedure and reduced the potential risks.