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本文引用的文献

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Comparison of Transcatheter Mitral Valve Repair Versus Surgical Mitral Valve Repair in Patients With Advanced Kidney Disease (from the National Inpatient Sample).晚期肾病患者经导管二尖瓣修复术与外科二尖瓣修复术的比较（来自全国住院患者样本）
Am J Cardiol. 2018 Mar 15;121(6):762-767. doi: 10.1016/j.amjcard.2017.12.015. Epub 2017 Dec 25.
2
Long-term clinical and echocardiographic outcomes of Mitraclip therapy in patients nonresponders to cardiac resynchronization.心脏再同步治疗无反应患者接受二尖瓣夹合术治疗的长期临床及超声心动图结果
Pacing Clin Electrophysiol. 2018 Jan;41(1):65-72. doi: 10.1111/pace.13241. Epub 2018 Jan 9.
3
Improved functional status and quality of life in prohibitive surgical risk patients with degenerative mitral regurgitation after transcatheter mitral valve repair.经导管二尖瓣修复术治疗有禁忌手术风险的退行性二尖瓣反流患者可改善其功能状态和生活质量。
J Am Coll Cardiol. 2014 Jul 15;64(2):182-92. doi: 10.1016/j.jacc.2013.10.021. Epub 2013 Oct 31.
4
4-year results of a randomized controlled trial of percutaneous repair versus surgery for mitral regurgitation.经皮修复与手术治疗二尖瓣反流的随机对照试验 4 年结果。
J Am Coll Cardiol. 2013 Jul 23;62(4):317-28. doi: 10.1016/j.jacc.2013.04.030. Epub 2013 May 9.

经导管二尖瓣置换术：高手术风险患者的一种替代治疗方法。

Transcatheter Mitral Valve Replacement: An Alternate Treatment Methodology for Patients at High Surgical Risk.

作者信息

Jawed Shafaq, Zubair Ujala, Zubair Zarafshan

机构信息

MBBS, Jinnah Sindh Medical University (SMC).

Medicine, Dow University of Health Sciences (DUHS), Karachi, Pakistan.

出版信息

Cureus. 2018 Apr 18;10(4):e2504. doi: 10.7759/cureus.2504.

DOI:10.7759/cureus.2504
PMID:29928564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6005395/
Abstract

Mitral valve regurgitation (MVR) is the reverse passage of blood through the mitral valve when the valve fails to close during ventricle contraction. Transcatheter mitral valve repair and replacement (TMVR) is a recent technology that can benefit MVR patients as an alternative, minimally invasive, and safer solution than conventional open-heart surgical approaches. TMVR uses a catheter guided by ultrasonography to replace or repair the defective valve and has provided better clinical outcomes, decreased hospital stay, and reduced mortality rates. Therefore, TVMR should be made possible worldwide, especially in South-Asian regions where heart conditions such as atrial fibrillation and stroke are major contributing factors in a high postoperative mortality rate.

摘要

二尖瓣反流（MVR）是指在心室收缩时二尖瓣无法关闭，导致血液逆向通过二尖瓣。经导管二尖瓣修复和置换术（TMVR）是一项最新技术，作为一种替代方案，它比传统的开胸手术方法更微创、更安全，能使二尖瓣反流患者受益。TMVR使用由超声引导的导管来置换或修复有缺陷的瓣膜，并已带来了更好的临床效果、缩短了住院时间并降低了死亡率。因此，经导管二尖瓣置换术应在全球范围内普及，尤其是在南亚地区，那里心房颤动和中风等心脏疾病是导致术后死亡率居高不下的主要因素。