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左心室栓塞后新型大型二尖瓣夹的逆行取出术

Retrograde Retrieval of a Novel Large Mitral Clip After Embolization Into the Left Ventricle.

作者信息

Sticchi Alessandro, Bartkowiak Joanna, Brugger Nicolas, Weiss Salome, Windecker Stephan, Praz Fabien

机构信息

Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.

Centro per la Lotta Contro L'Infarto Foundation, Rome, Italy.

出版信息

JACC Case Rep. 2021 Oct 20;3(14):1561-1568. doi: 10.1016/j.jaccas.2021.08.024.

DOI:10.1016/j.jaccas.2021.08.024
PMID:34729501
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8543158/
Abstract

We describe the successful retrieval of a novel large mitral clip, which embolized in a patient with severe secondary mitral regurgitation and left ventricular dysfunction, dilated left ventricle, and severely tethered mitral valve leaflets in the setting of a challenging anatomy for transcatheter edge-to-edge repair. The description highlights planning, technical issues, and possible adverse events of this bailout procedure. ().

摘要

我们描述了成功取出一个新型大型二尖瓣夹,该夹子在一名患有严重继发性二尖瓣反流、左心室功能障碍、左心室扩张且二尖瓣叶严重受限的患者体内发生栓塞,这种情况对于经导管缘对缘修复来说解剖结构具有挑战性。本描述重点介绍了这种补救手术的规划、技术问题及可能的不良事件。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c4d43baa36e6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c4d43baa36e6/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/a7125a97507e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/5adbf27c9c10/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c97e812e2d1f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/9bca59e47d15/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c4d43baa36e6/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c4d43baa36e6/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/a7125a97507e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/5adbf27c9c10/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c97e812e2d1f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/9bca59e47d15/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/8543158/c4d43baa36e6/gr5.jpg

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引用本文的文献

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Percutaneous Retrieval of an Embolized Transcatheter Mitral Valve Repair Clip Causing ST-Segment Elevation Myocardial Infarction.经皮取出导致ST段抬高型心肌梗死的栓塞经导管二尖瓣修复夹
JACC Case Rep. 2023 Jan 27;9:101745. doi: 10.1016/j.jaccas.2023.101745. eCollection 2023 Mar 1.
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Mitral valve transcatheter edge-to-edge repair.

本文引用的文献

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EuroIntervention. 2021 Dec 3;17(11):e932-e941. doi: 10.4244/EIJ-D-21-00012.
2
A New Age for Transcatheter Mitral Valve Repair: The Complexity of Choice.经导管二尖瓣修复新时代:选择的复杂性
JACC Cardiovasc Interv. 2020 Oct 26;13(20):2415-2417. doi: 10.1016/j.jcin.2020.07.023. Epub 2020 Sep 30.
3
Retrieval of a MitraClip from the left atrium using a two-snare technique: Case report and review of the literature.
二尖瓣经导管缘对缘修复术。
EuroIntervention. 2023 Jan 23;18(12):957-976. doi: 10.4244/EIJ-D-22-00725.
4
Better Safe Than Sorry in the Transcatheter Mitral Era.经导管二尖瓣治疗时代,安全总比遗憾好。
JACC Case Rep. 2022 Jun 1;4(11):663-665. doi: 10.1016/j.jaccas.2022.04.007.
5
Surgical Removal of a Detached Mitral Valve Repair Clip to Resolve Cardiogenic Shock.手术移除分离的二尖瓣修复夹以解决心源性休克。
JACC Case Rep. 2022 Jun 1;4(11):658-662. doi: 10.1016/j.jaccas.2022.03.010.
使用双套圈技术从左心房取回 MitraClip:病例报告及文献复习。
Catheter Cardiovasc Interv. 2020 Jul;96(1):210-214. doi: 10.1002/ccd.28538. Epub 2019 Oct 15.
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JACC Cardiovasc Interv. 2019 Dec 23;12(24):e211-e213. doi: 10.1016/j.jcin.2019.08.007. Epub 2019 Sep 25.
5
Institutional Experience With Transcatheter Mitral Valve Repair and Clinical Outcomes: Insights From the TVT Registry.经导管二尖瓣修复术的机构经验和临床结果:TVT 注册研究的新见解。
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