emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2025.9.1.2447emcardio-121Research ArticleОригинальные научные публикацииOriginal Scientific ResearchВиртуальное стентирование как способ оптимизации стентирования выходного отдела правого желудочка перед проведением радикальной коррекции тетрады фалло у детейVirtual stenting as a method for optimizing right ventricular outflow tract stenting prior to radical correction of tetralogy of fallot in childrenЧерноглазП. Ф.CharnahlaP. F.

Минск

Minsk

chernoglaz@gmail.comМараховскаяП. К.MarakhovskayaP. K.

Минск

Minsk

ЛинникЮ. И.LinnikYu. I.

Минск

Minsk

ДроздовскийК. В.DrozdovskiK. V.

Минск

Minsk

ГУ «РНПЦ детской хирургии»Republican Scientific and Practical Center for Pediatric Surgery2025110920259124472453Copyright © Черноглаз П.Ф., Мараховская П.К., Линник Ю.И., Дроздовский К.В., 20252025Черноглаз П.Ф., Мараховская П.К., Линник Ю.И., Дроздовский К.В.Charnahla P.F., Marakhovskaya P.K., Linnik Y.I., Drozdovski K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/121Цель

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

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

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

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.

Objective

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

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

Results. The procedural success rate was 95%. Oxygen saturation increased from 80 [71–88]% to 95 [92–98]% (p < 0.001), 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

Conclusion. RVOT stenting using virtual modeling technology demonstrates high clinical efficacy, significantly improving oxygenation and hemodynamic parameters while reducing the need for repeat interventions. 

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The authors declare that there are no conflicts of interest present.