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新型经导管三尖瓣环成形系统在猪模型中的可行性研究。

Feasibility Study of a Novel Transcatheter Tricuspid Annuloplasty System in a Porcine Model.

作者信息

Pan Wenzhi, Long Yuliang, Zhang Xiaochun, Chen Shasha, Li Wei, Pan Cuizhen, Guo Yingqiang, Zhou Daxin, Ge Junbo

机构信息

Department of Cardiology, Zhongshan Hospital, Fudan University, Research Unit of Cardiovascular Techniques and Devices, Chinese Academy of Medical Sciences, Shanghai, China.

National Clinical Research Center for Interventional Medicine, Shanghai, China.

出版信息

JACC Basic Transl Sci. 2022 Jun 15;7(6):600-607. doi: 10.1016/j.jacbts.2022.02.022. eCollection 2022 Jun.

Abstract

Gradually, more attention has been paid to tricuspid regurgitation. Formerly the "forgotten valvular heart disease," it has been recognized as having high incidence and adverse prognosis if untreated. However, isolated tricuspid valve surgery carries substantial risk and is thus not recommended. The K-Clip transcatheter tricuspid annuloplasty system has recently emerged as a minimally invasive therapeutic option that may help address these unmet clinical needs. The K-Clip technology simulates the Kay's procedure, which reduces the dimensions of the tricuspid annulus by folding and clamping the tricuspid annulus issue with a rigid clamping device. The feasibility of the K-Clip technology was investigated in this study, and annulus area reduction and declining tricuspid regurgitation grades were noted following the procedure. The findings of this study suggest that the K-Clip system may potentially be applicable as a novel transcatheter tricuspid annuloplasty device for the treatment of severe tricuspid in humans.

摘要

逐渐地,三尖瓣反流受到了更多关注。它曾是“被遗忘的瓣膜性心脏病”,现已被认识到如果不治疗,其发病率高且预后不良。然而,单纯的三尖瓣手术风险很大,因此不被推荐。K-Clip经导管三尖瓣环成形系统最近作为一种微创治疗选择出现,可能有助于满足这些未被满足的临床需求。K-Clip技术模拟了凯氏手术,通过用刚性夹紧装置折叠并夹紧三尖瓣环组织来减小三尖瓣环的尺寸。本研究对K-Clip技术的可行性进行了调查,术后观察到瓣环面积减小和三尖瓣反流分级降低。本研究结果表明,K-Clip系统可能有潜力作为一种新型经导管三尖瓣环成形装置用于治疗人类严重三尖瓣反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c91b/9270588/7e3297183dde/fx1.jpg

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