Olsthoorn Jules, Heuts Samuel, Maessen Jos, Sardari Nia Peyman
Department of Cardiothoracic Surgery Maastricht University Medical Center Maastricht, The Netherlands.
Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Multimed Man Cardiothorac Surg. 2019 Sep 30;2019. doi: 10.1510/mmcts.2019.027.
Although the long-term durability of transcatheter procedures has yet to be established, their emergence as an option for mitral valve repair seems to have provided the surgical community with another tool in the toolbox for treatment of mitral valve disease. Edge-to-edge mitral valve repair (with the MitraClip, Abbott, Abbott Park, IL, USA) was developed as a novel procedure, based on Alfieri's technique, in which the repair can be performed through a percutaneous approach for correction of mitral valve regurgitation. However, with new treatment options, new complications are unavoidable. Mitral valve repair after failed MitraClip therapy can be complex and surgically challenging. In this video tutorial, we describe a technique for atraumatic removal of the clip, after which adequate repair can be performed.
尽管经导管手术的长期耐久性尚未得到证实，但它们作为二尖瓣修复的一种选择的出现，似乎为外科界提供了治疗二尖瓣疾病的另一种工具。缘对缘二尖瓣修复术（使用美国伊利诺伊州雅培公园市雅培公司的MitraClip）是一种基于阿尔菲耶里技术开发的新型手术，该修复术可通过经皮途径进行，用于纠正二尖瓣反流。然而，随着新的治疗选择出现，新的并发症也不可避免。MitraClip治疗失败后的二尖瓣修复可能很复杂，且具有手术挑战性。在本视频教程中，我们描述了一种无创取出夹子的技术，之后可进行充分的修复。
