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经导管二尖瓣修复术:当前技术综述

Transcatheter mitral valve repair: review of current techniques.

作者信息

Noack Thilo, Kiefer Philipp, Besler Christian, Lurz Philipp, Leontyev Sergey, Abdel-Wahab Mohamed, Holzhey David Michael, Seeburger Joerg

机构信息

University Department of Cardiac Surgery, Heart Centre Leipzig, Struempellstrasse 39, 04289 Leipzig, Germany.

University Department of Internal Medicine/Cardiology, Heart Centre Leipzig, Leipzig, Germany.

出版信息

Indian J Thorac Cardiovasc Surg. 2020 Jan;36(Suppl 1):53-63. doi: 10.1007/s12055-019-00864-5. Epub 2019 Sep 10.

DOI:10.1007/s12055-019-00864-5
PMID:33061185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7525891/
Abstract

Mitral regurgitation is common and is associated with excess morbidity and mortality. Despite these poor outcomes, only a minority of affected patients undergo mitral surgery, for several reasons, which underlines the substantial unmet need for treatment for this disorder. Transcatheter mitral valve repair interventions have been developed to treat mitral regurgitation in an undertreated patient population. The aim of this status quo review is to provide an overview of currently available transcatheter mitral valve repair techniques, the different approaches and the clinical outcomes reported so far.

摘要

二尖瓣反流很常见,且与发病率和死亡率过高相关。尽管预后不佳,但由于多种原因,只有少数受影响的患者接受二尖瓣手术,这突出表明该疾病的治疗需求远未得到满足。经导管二尖瓣修复干预措施已被开发出来,用于治疗未得到充分治疗的二尖瓣反流患者群体。本现状综述的目的是概述目前可用的经导管二尖瓣修复技术、不同的方法以及迄今为止报道的临床结果。

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本文引用的文献

1
Initial Feasibility Study of a New Transcatheter Mitral Prosthesis: The First 100 Patients.新型经导管二尖瓣假体的初步可行性研究:前 100 例患者。
J Am Coll Cardiol. 2019 Mar 26;73(11):1250-1260. doi: 10.1016/j.jacc.2018.12.066.
2
Proportionate and Disproportionate Functional Mitral Regurgitation: A New Conceptual Framework That Reconciles the Results of the MITRA-FR and COAPT Trials.比例性和非比例性功能性二尖瓣反流:一个新的概念框架,调和了 MITRA-FR 和 COAPT 试验的结果。
JACC Cardiovasc Imaging. 2019 Feb;12(2):353-362. doi: 10.1016/j.jcmg.2018.11.006. Epub 2018 Dec 12.
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One-Year Outcomes After Transapical Echocardiography-Guided Mitral Valve Repair.经心尖超声心动图引导下二尖瓣修复术后一年的结果
Circulation. 2018 Aug 21;138(8):843-845. doi: 10.1161/CIRCULATIONAHA.118.033509.
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Transcatheter Mitral-Valve Repair in Patients with Heart Failure.经导管二尖瓣修复术治疗心力衰竭患者。
N Engl J Med. 2018 Dec 13;379(24):2307-2318. doi: 10.1056/NEJMoa1806640. Epub 2018 Sep 23.
5
Transcatheter mitral valve repair: review of the clinical evidence.经导管二尖瓣修复术:临床证据回顾。
EuroIntervention. 2018 Aug 31;14(AB):AB91-AB100. doi: 10.4244/EIJ-D-18-00511.
6
Percutaneous Repair or Medical Treatment for Secondary Mitral Regurgitation.经皮修复或药物治疗继发性二尖瓣反流。
N Engl J Med. 2018 Dec 13;379(24):2297-2306. doi: 10.1056/NEJMoa1805374. Epub 2018 Aug 27.
7
Transcatheter mitral valve repair for functional mitral regurgitation using the Cardioband system: 1 year outcomes.经导管二尖瓣修复术治疗功能性二尖瓣反流:1 年结果。
Eur Heart J. 2019 Feb 1;40(5):466-472. doi: 10.1093/eurheartj/ehy424.
8
Clinical Outcome of Degenerative Mitral Regurgitation: Critical Importance of Echocardiographic Quantitative Assessment in Routine Practice.退行性二尖瓣反流的临床转归:超声心动图定量评估在常规实践中的重要性。
Circulation. 2018 Sep 25;138(13):1317-1326. doi: 10.1161/CIRCULATIONAHA.117.033173.
9
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