Babic U U, Pejcic P, Djurisic Z, Vucinic M, Grujicic S M
Am J Cardiol. 1986 May 1;57(13):1101-4. doi: 10.1016/0002-9149(86)90682-x.
A new technique was developed that allows mitral commissurotomy without surgery. A balloon catheter was inserted percutaneously from the left femoral artery over a long guidewire introduced into the right femoral vein and advanced transseptally through the Brockenbrough catheter to the left ventricle and drawn out of the body through the left femoral artery using an intravascular retriever set. This procedure was performed in 3 patients with moderate mitral stenosis. After the procedure, the mean diastolic pressure gradient across the mitral valve was reduced and left ventriculography revealed no resultant mitral regurgitation in any of the patients. The procedure was easy to perform and caused no complications.
一种无需手术就能进行二尖瓣交界切开术的新技术被研发出来。通过经皮从左股动脉插入一根球囊导管，该导管沿着引入右股静脉的长导丝前行，并经Brockenbrough导管经房间隔推进至左心室，然后使用血管内回收装置经左股动脉引出体外。该手术在3例中度二尖瓣狭窄患者中进行。术后，二尖瓣跨瓣平均舒张压梯度降低，左心室造影显示所有患者均未出现二尖瓣反流。该手术操作简便，未引起任何并发症。
