Rogers Jason H, Bolling Steven F
Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, CA, USA.
Department of Cardiac Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
Ann Cardiothorac Surg. 2021 Jan;10(1):57-65. doi: 10.21037/acs-2020-mv-11.
Annuloplasty is a fundamental component of surgical mitral valve repair, and is employed in nearly 100% of repair operations for both primary and secondary mitral regurgitation (SMR). Developing transcatheter techniques to replicate surgical annuloplasty has been the focus of significant innovation and development in recent years. Since many patients are not offered surgery due to high perceived surgical risk, transcatheter approaches will provide new treatment options. In this manuscript, we review technologies which allow transseptal and transcatheter mitral valve (MV) annuloplasty.
瓣环成形术是二尖瓣手术修复的基本组成部分,在原发性和继发性二尖瓣反流(SMR)的修复手术中,近100%都会采用该技术。近年来,开发能够复制外科瓣环成形术的经导管技术一直是重大创新和发展的重点。由于许多患者因被认为手术风险高而未接受手术治疗,经导管方法将提供新的治疗选择。在本手稿中,我们回顾了允许经房间隔和经导管二尖瓣(MV)瓣环成形术的技术。