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二尖瓣和三尖瓣经皮修复术在心力衰竭晚期患者中的应用:是万灵药,还是潘多拉魔盒?

Mitral and Tricuspid Valves Percutaneous Repair in Patients with Advanced Heart Failure: Panacea, or Pandora's Box?

机构信息

Department of Cardiology, Policlinico Universitario Campus Bio-Medico, Via Álvaro del Portillo, 21, Roma 00128, Italy; Department of Cardiology, Policlinico Universitario Tor Vergata, Viale Oxford 81, Roma 00133, Italy.

Department of Cardiology, Policlinico Universitario Campus Bio-Medico, Via Álvaro del Portillo, 21, Roma 00128, Italy.

出版信息

Heart Fail Clin. 2021 Oct;17(4):607-618. doi: 10.1016/j.hfc.2021.05.006. Epub 2021 Jul 14.

Abstract

In heart failure with reduced ejection fraction, the interventional landscape has recently expanded. New transcatheter approaches are emerging for both mitral and tricuspid secondary (functional) regurgitation. Transcatheter therapies for mitral and tricuspid valve require a more tailored approach than for the aortic valve, because of more heterogeneous clinical scenarios, anatomic features, and mechanisms of valvular lesions.

摘要

在射血分数降低的心力衰竭中,介入治疗领域最近得到了扩展。二尖瓣和三尖瓣继发性(功能性)反流的新介入方法正在出现。二尖瓣和三尖瓣的经导管治疗需要比主动脉瓣更具针对性的方法,因为临床情况、解剖特征和瓣膜病变的机制更加多样化。

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