Kuyika kwa mtima watsopano: Kugwiritsa ntchito koyamba ku Florida

Tampa General Hospital (TGH) ndi USF Health Morsani College of Medicine Interventional Cardiologists adakwanitsa kuchita zinthu zingapo sabata ino pokhala woyamba ku Florida komanso wachiwiri mdziko muno kugwiritsa ntchito implant yomwe yangopangidwa kumene kuti ilowe m'malo mwa valavu ya tricuspid ndikupereka mwayi kwa odwala. omwe sakwaniritsa zofunikira za opaleshoni yamtima yotsegula. Kuchuluka kwa anthu omwe amathandizidwa ndi madokotala a USF Health ndi Tampa General Hospital kunachititsanso kuti mlandu umodzi ukhale woyamba padziko lapansi kuti akhazikitse dongosolo la TricValve mwa wodwala yemwe ali ndi chipangizo chothandizira kumanzere (LVAD).

"Dongosolo la TricValve likuyimira ukadaulo watsopano wa transcatheter womwe ungapereke odwala omwe ali ndi zizindikiro zowopsa za tricuspid regurgitation (TR) ndi kulephera kwa mtima njira yochepetsera zizindikiro komanso ntchito yabwino. Ndi pafupifupi ola limodzi ndi kuchira msanga kwa odwala ndipo sikumaphatikizapo kutsegula kwathunthu pachifuwa, "anatero Dr. Hiram Grando Bezerra, pulofesa ndi wamkulu wa gawo la interventional cardiology ku USF Health Morsani College of Medicine ndi mkulu wa Interventional. Cardiology Center of Excellence mkati mwa TGH Heart & Vascular Institute.

Tampa General ndi chipatala chachiwiri mdziko muno kuchita njira ya TricValve ndipo ndi chimodzi chokha choika odwala awiri. Njirazi zinachitidwa pa March 15 ndi 16 ndi Bezerra ndi Dr. Fadi Matar, pulofesa wothandizira ku USF Health Morsani College of Medicine ndi mkulu wa dipatimenti ya cardiology ku Tampa General.

"Ndife okondwa kwambiri kuthandiza odwalawa, chifukwa palibe njira ina yomwe ilipo kuti athetse vuto lawo lalikulu la tricuspid," adatero Matar. "Ndikuganiza kuti chipangizo chatsopanochi chingathe kupititsa patsogolo moyo wa anthu omwe ali ndi vutoli."

Ngakhale kuti chithandizo cha transcatheter chakhala chizoloŵezi cha chisamaliro chazaka khumi zapitazi ndi mankhwala ochiritsira aortic ndi mitral valve, mpaka posachedwapa palibe chithandizo cha transcatheter cha tricuspid valve.

TricValve Transcatheter Bicaval Valves ndi dongosolo la ma valve awiri odzikulitsa okha. Makamaka, njira ya transcatheter imaphatikizapo kudutsa mu groin ya wodwala ndi kulowa mumtsempha waukulu wopita kumtima. Ma valve awiri odzikulitsa okha amayikidwa kumapeto kwa kafukufuku ndipo amaikidwa mwachisawawa mumunsi ndi pamwamba pa vena cava yomwe imalowetsa ntchito ya tricuspid valve.

Odwalawo adatsatiridwa kwa miyezi ingapo ndipo kujambula kudawunikidwa kuti azitha kuyika TricValve. Jen Bishop, DNP, namwino wotsogolera wa APRN wa TGH Interventional Cardiology Center of Excellence anati: "Takhala odziwa bwino odwalawa ndi mabanja awo paulendowu ndipo gulu lathu ndilolemekezeka kuwapatsa luso lamakono. Tidzapitiriza kuwatsatira pamene akuchira, ndipo zidzakhala zosangalatsa kuona momwe ma valve angakhudzire miyoyo yawo ndipo mwachiyembekezo adzawabwezeretsa kuchita zinthu zomwe amakonda. "

TricValve idasankhidwa ngati chipangizo chothandizira kwambiri ndi US Food and Drug Administration (FDA). Pulogalamu ya FDA's Breakthrough Devices imapatsa odwala ndi othandizira azaumoyo mwayi wopeza zida zatsopano zamankhwala munthawi yake. Pamachitidwe omwe adachitika ku Tampa General, a FDA adapereka chilolezo chogwiritsa ntchito mwachifundo ku chipatala chamaphunziro.

"Zochitika zazikuluzi, makamaka zoyamba pakugwiritsa ntchito kwa anthu TricValve kwa wodwala yemwe ali ndi chida chothandizira kumanzere kwa ventricular, ndi chizindikiro cha kuthekera kwa HVI kupanga ndi kugwiritsa ntchito - pamaso pa wina aliyense -kusokoneza matekinoloje atsopano kuti apindule odwala," adatero Dr. Guilherme. Oliveira, pulofesa ndi wamkulu, gawo la sayansi ya mtima, USF Health Morsani College of Medicine ndi mtsogoleri wamkulu, TGH Heart & Vascular Institute. "Izi zikuyimira kudzipereka kwathu kuti tikhale chipatala chomwe tikupitako kuchiza matenda amtima ndikupitirizabe kufotokozera mankhwala."

Wopangidwa ndikupangidwa ndi P+F Products + Features yomwe ili ku Vienna, Austria, TricValve ikuphunziridwa m'mayesero azachipatala ku US ndi Europe. Odwala sanalembetsebe mlandu waku US, womwe ukuyembekezeka kuyamba posachedwa.