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经皮二尖瓣缘对缘修复术术中经食管超声心动图指导使用 MitraClip。

Periprocedural Echocardiographic Guidance of Transcatheter Mitral Valve Edge-to-Edge Repair Using the MitraClip.

机构信息

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

出版信息

Cardiol Clin. 2021 May;39(2):267-280. doi: 10.1016/j.ccl.2021.01.009.

Abstract

Transcatheter edge-to-edge mitral valve repair is a minimally invasive treatment option for selected patients with moderate to severe or severe mitral regurgitation. Although transcatheter edge-to-edge mitral valve repair offers a significant step forward in the management of mitral regurgitation, the rate of procedural-related complications is not trivial. High-quality periprocedural imaging is important for optimal patient selection and procedural success. In this review, we present a step-by-step approach of the recommended echocardiographic views for transcatheter edge-to-edge mitral valve repair.

摘要

经导管缘对缘二尖瓣修复术是一种针对中重度或重度二尖瓣反流的有选择的患者的微创治疗选择。尽管经导管缘对缘二尖瓣修复术在二尖瓣反流的治疗方面取得了重大进展,但手术相关并发症的发生率不容忽视。高质量的围手术期影像学检查对于优化患者选择和手术成功至关重要。在本综述中,我们提出了经导管缘对缘二尖瓣修复术推荐的超声心动图视图的分步方法。

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