Edupuganti Mohan Mallikarjuna Rao, Mutlu Deniz, Mego David M, Marmagkiolis Kostas, Cilingiroglu Mehmet
Tex Heart Inst J. 2019 Jun 1;46(3):195-198. doi: 10.14503/THIJ-17-6546. eCollection 2019 Jun.
The MitraClip system can be used to control regurgitant blood flow in patients with mitral regurgitation who cannot tolerate open surgery to replace the mitral valve. Technical limitations make the right femoral vein the standard access point for placing the MitraClip. However, this route is not always suitable. We present the case of an 85-year-old woman in whom we successfully used a left-sided approach for inserting a MitraClip because her right femoral vein was occluded. This apparently novel left femoral approach merits consideration as an option for device insertion when right femoral vein access is precluded.
对于无法耐受二尖瓣置换开放手术的二尖瓣反流患者，MitraClip系统可用于控制反流血流。技术限制使得右股静脉成为放置MitraClip的标准入路点。然而，这条路径并不总是合适的。我们报告了一例85岁女性患者，由于其右股静脉闭塞，我们成功采用左侧入路插入MitraClip。当右股静脉入路不可行时，这种明显新颖的左股入路作为器械插入的一种选择值得考虑。
