Huang Hsiu-Fen, Yu Hui-Yun, Lee Ching-Wei, Chang Hui-Chuang, Lin Mei-Ling, Wung Shin-Huey
Department of Nursing, Taipei Veterans General Hospital, Taiwan, ROC.
Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2017 Aug;64(4):89-96. doi: 10.6224/JN.000058.
Open-heart surgery and conservative medical treatments have been the traditional, mainstay treatments for patients with severe mitral regurgitation (MR). Transcatheter edge-to-edge mitral repair is a novel technique. Using the transcatheter approach allows delivery of the clip into the left ventricle and the clipping of the orifice of the MR. The heart failure symptoms and outcomes of patients improve after this procedure. Compared to open-heart surgery, the mitral clip achieves similar MR reduction results with a significantly lower rate of complications. Since 2016, MitraClip has been available for clinical use in Taiwan. The aim of this report is to introduce this new treatment with a focus on nursing care in order to provide a reference for clinical care.
心脏直视手术和保守药物治疗一直是重度二尖瓣反流（MR）患者的传统主要治疗方法。经导管缘对缘二尖瓣修复术是一种新技术。采用经导管方法可将夹子送入左心室并夹住二尖瓣反流口。此手术后患者的心力衰竭症状及预后得到改善。与心脏直视手术相比，二尖瓣夹实现了相似的二尖瓣反流减少效果，且并发症发生率显著更低。自2016年起，MitraClip已在台湾可供临床使用。本报告旨在介绍这种新疗法，并重点关注护理，以便为临床护理提供参考。
