Alsidawi Said, Effat Mohamed, Helmy Tarek
Division of Cardiovascular Health and Disease, College of Medicine, University of Cincinnati, 231 Albert Sabine Way, Cincinnati, OH, 45267, USA,
J Thromb Thrombolysis. 2014;38(2):260-8. doi: 10.1007/s11239-014-1067-4.
Severe mitral valve regurgitation is a serious condition with significant morbidity and mortality. It is not uncommon recently, to see patients with significant mitral valve regurgitation that are considered "non-surgical candidates" due to their comorbidities. MitraClip is a new percutaneous approach for treating mitral valve regurgitation which involves mechanical edge-to-edge coaptation of the mitral leaflets. In October of 2013, The US Food and Drug Administration (FDA) approved the MitraClip for patients with symptomatic degenerative mitral regurgitation deemed high risk for mitral-valve surgery. Several large clinical trials confirmed the safety and efficacy of MitraClip. We here discuss the growing role of MitraClip, the major clinical trials, the ongoing trials and the potential complications of the procedure.
重度二尖瓣反流是一种严重疾病,具有较高的发病率和死亡率。近年来,因合并症而被视为“非手术候选人”的重度二尖瓣反流患者并不少见。MitraClip是一种治疗二尖瓣反流的新型经皮治疗方法,该方法通过机械装置使二尖瓣叶边缘对边缘贴合。2013年10月,美国食品药品监督管理局(FDA)批准MitraClip用于症状性退行性二尖瓣反流且被认为二尖瓣手术高风险的患者。多项大型临床试验证实了MitraClip的安全性和有效性。在此,我们讨论MitraClip日益重要的作用、主要临床试验、正在进行的试验以及该手术的潜在并发症。