П. Ф. Черноглаз, П. К. Мараховская, Ю. И. Линник, К. В. Дроздовский
ГУ «РНПЦ детской хирургии», г. Минск, Беларусь
Цель. Оценить эффективность стентирования выносящего отдела правого желудочка (ВОПЖ) с использованием технологии виртуального стентирования (ВС) для оптимизации результатов у детей с тетрадой Фалло и тетрадоподобными врожденными пороками сердца (ВПС).
Материалы и методы. Проведен анализ 22 случаев стентирования ВОПЖ у пациентов в возрасте 2,36 [0,73–3,07] месяца (2018–2024 гг.). В 8 случаях планирование стентирования выполнялось на основе КТ-ангиографии с применением технологии виртуального стентирования.
Результаты. Процедурный успех составил 95%. Сатурация кислорода увеличилась с 80 [71–88]% до 95 [92–98]% (p < 0,001), градиент систолического давления (ГСД) снизился с 70 [41–80] до 30 [21–39] мм рт. ст.
Применение ВС повысило точность позиционирования стента до 95% (против 78% без ВС) и сократило число реинтервенций (1 случай против 4).
Заключение. Стентирование ВОПЖ с использованием технологии виртуального моделирования демонстрирует высокую клиническую эффективность, обеспечивая значительное улучшение показателей оксигенации и гемодинамики, а также снижая частоту повторных интервенционных процедур.
ключевые слова: тетрада Фалло, стентирование ВОПЖ, виртуальное стентирование, компьютерная томография
для цитирования: П. Ф. Черноглаз, П. К. Мараховская, Ю. И. Линник, К. В. Дроздовский. Виртуальное стентирование как способ оптимизации стентирования выходного отдела правого желудочка перед проведением радикальной коррекции тетрады фалло у детей. Неотложная кардиология и кардиоваскулярные риски, 2025, Т. 9, № 1, С. 2447–2453.
Virtual stenting as a method for optimizing right ventricular outflow tract stenting prior to radical correction of tetralogy of fallot in children
P. Charnahla, P. Marakhovskaya, Yu. Linnik, K. Drozdovski
Objective. To evaluate the efficacy of right ventricular outflow tract (RVOT) stenting using virtual stenting (VS) technology in children with tetralogy of Fallot and Fallot-type congenital heart defects (CHD).
Materials and methods. We analyzed 22 cases of RVOT stenting in patients aged 2.36 [0.73–3.07] months (2018–2024). In 8 cases, stenting planning was performed using CT angiography and VS technology.
Results. The procedural success rate was 95%. Oxygen saturation increased from 80 [71–88]% to 95 [92–98]% (p < 0.001), and the systolic pressure gradient (SPG) decreased from 70 [41–80] mmHg to 30 [21–39] mmHg. VS implementation improved stent positioning accuracy to 95% (vs 78% without VS) and reduced reinterventions (1 vs 4 cases).
Conclusion. RVOT stenting using virtual modeling technology demonstrates high clinical efficacy, significantly improving oxygenation and hemodynamic parameters while reducing the need for repeat interventions.
keywords: tetralogy of Fallot, RVOT stenting, virtual stenting, computed tomography angiography
for references: P. Charnahla, P. Marakhovskaya, Yu. Linnik, K. Drozdovski. Virtual stenting as a method for optimizing right ventricular outflow tract stenting prior to radical correction of tetralogy of fallot in children. Neotlozhnaya kardiologiya i kardiovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2025, vol. 9, no. 1, pp. 2447–2453.
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