Flores Guisela, Mesa Dolores, Ojeda Soledad, de Lezo Javier Suárez, Gonzalez-Manzanares Rafael, Dueñas Guillermo, Pan Manuel
Cardiology Department, Reina Sofia University Hospital, 14004 Cordoba, Spain.
Maimonides Institute for Research in Biomedicine of Cordoba (IMIBIC), 14004 Cordoba, Spain.
J Clin Med. 2022 Aug 14;11(16):4747. doi: 10.3390/jcm11164747.
The use of transcatheter edge-to-edge repair for the treatment of mitral regurgitation has markedly increased in the last few years. The rate of adverse events related to the procedure is low; however, some of the complications that may occur are potentially dangerous. Due to the growing popularity of the technique, which is no longer limited to high-volume centers, knowledge of the complications related to the procedure is fundamental. Transesophageal echocardiography has a key role in the guidance of the intervention while allowing for the avoidance of most of these adverse events, as well as enabling us to diagnose them early. In this article, we review the main complications that might present during a transcatheter mitral edge-to-edge repair procedure (tamponade, thromboembolic events, single leaflet device attachment, device embolization, vascular injury…) while highlighting key aspects of transesophageal echocardiographic monitoring in the prevention and prompt diagnosis of these complications.
在过去几年中，经导管缘对缘修复术用于治疗二尖瓣反流的情况显著增加。与该手术相关的不良事件发生率较低；然而，可能发生的一些并发症具有潜在危险性。由于该技术越来越普及，不再局限于大型医疗中心，了解与该手术相关的并发症至关重要。经食管超声心动图在干预指导中起着关键作用，既能避免大多数此类不良事件，又能使我们早期诊断它们。在本文中，我们回顾了经导管二尖瓣缘对缘修复手术过程中可能出现的主要并发症（心包填塞、血栓栓塞事件、单叶瓣装置附着、装置栓塞、血管损伤……），同时强调经食管超声心动图监测在预防和及时诊断这些并发症方面的关键要点。
