Department of Cardiovascular Surgery, ASST Fatebenefratelli Sacco, Milano, Italy.
ForCardio.Lab, Università degli Studi di Milano-Politecnico di Milano, Milano, Italy.
Eur J Cardiothorac Surg. 2017 Oct 1;52(4):818-819. doi: 10.1093/ejcts/ezx205.
Transcatheter valve procedures are wide-spreading techniques for the treatment of heart valves pathologies. In case of implantation failure, the transcatheter device often needs to be removed. This procedure, which can alter the biological structure integrity, can limit the option available for the subsequent traditional surgery. One of the most popular devices for transcatheter mitral valve repair is the MitraClip system. In this work, we describe 2 different techniques for the surgical removal of MitraClip. These techniques aim to preserve the valve leaflets integrity, to allow for subsequent mitral valve surgical repair.
经导管瓣膜手术是治疗心脏瓣膜病变的广泛应用技术。如果植入失败,通常需要将经导管装置取出。这种可能改变生物结构完整性的程序会限制随后传统手术的选择。经导管二尖瓣修复最受欢迎的装置之一是 MitraClip 系统。在这项工作中,我们描述了两种用于外科取出 MitraClip 的不同技术。这些技术旨在保留瓣膜叶片的完整性,以便随后进行二尖瓣手术修复。