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急性和危重心脏病状态下的经导管二尖瓣修复术

Transcatheter Mitral Valve Repair in Acute and Critical Cardiac Conditions.

作者信息

Kaddoura Rasha, Al-Hijji Mohammed

机构信息

Department of Pharmacy, Heart Hospital Hamad Medical Corporation, Doha, Qatar.

Department of Adult Cardiology, Heart Hospital Hamad Medical Corporation, Doha, Qatar.

出版信息

Heart Views. 2023 Jan-Mar;24(1):29-40. doi: 10.4103/heartviews.heartviews_73_22. Epub 2023 Feb 23.

DOI:10.4103/heartviews.heartviews_73_22
PMID:37124432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10144416/
Abstract

Acute mitral valve regurgitation (MR) is an emergency condition that requires an early diagnosis of the etiology and rapid management. Surgical intervention is the first-line treatment for acute severe MR. However, many patients are denied surgical intervention due to the acute risk of surgery. Transcatheter mitral valve repair (TMVr) is a less invasive technique and becoming a potential alternative to surgery in inoperable patients but is underrepresented in the literature. This review aims to discuss the published data on the use of TMVr in unstable MR patients presenting with acute or critical cardiac conditions.

摘要

急性二尖瓣反流(MR)是一种紧急情况,需要早期诊断病因并迅速进行处理。外科手术干预是急性重度MR的一线治疗方法。然而,由于手术的急性风险,许多患者无法接受外科手术干预。经导管二尖瓣修复术(TMVr)是一种侵入性较小的技术,正成为无法进行手术的患者的潜在手术替代方案,但在文献中的报道较少。本综述旨在讨论已发表的关于在伴有急性或严重心脏疾病的不稳定MR患者中使用TMVr的数据。

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本文引用的文献

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Percutaneous Mitral Valve Repair in Patients with Severe Mitral Regurgitation and Acute Decompensated Heart Failure.重度二尖瓣反流合并急性失代偿性心力衰竭患者的经皮二尖瓣修复术
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2021 ESC/EACTS Guidelines for the management of valvular heart disease.2021年欧洲心脏病学会/欧洲心胸外科学会心脏瓣膜病管理指南。
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急诊和紧急经导管二尖瓣修复术(MitraClip)的结果:与标准择期修复术的比较
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Heart Views. 2023 Oct-Dec;24(4):179-187. doi: 10.4103/heartviews.heartviews_90_23. Epub 2023 Nov 3.
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Short-Term Outcomes Following Urgent Transcatheter Edge-to-Edge Repair With MitraClip in Cardiogenic Shock: A Population-Based Analysis.心源性休克患者紧急经导管缘对缘修复术(MitraClip)后的短期结局:一项基于人群的分析
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5
Asian Pacific Society of Cardiology Consensus Recommendations on the Use of MitraClip for Mitral Regurgitation.亚太心脏病学会关于使用MitraClip治疗二尖瓣反流的共识建议
Eur Cardiol. 2021 Jun 1;16:e25. doi: 10.15420/ecr.2021.01. eCollection 2021 Feb.
6
Transcatheter Mitral Valve Repair and Mitral Valve Surgery Following Acute Myocardial Infarction (Insights From a Nationwide Cohort Study).
Am J Cardiol. 2021 Aug 1;152:174-177. doi: 10.1016/j.amjcard.2021.04.026. Epub 2021 Jun 8.
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Safety and Feasibility of MitraClip Implantation in Patients with Acute Mitral Regurgitation after Recent Myocardial Infarction and Severe Left Ventricle Dysfunction.近期心肌梗死后急性二尖瓣反流合并严重左心室功能不全患者行MitraClip植入术的安全性和可行性
J Clin Med. 2021 Apr 22;10(9):1819. doi: 10.3390/jcm10091819.
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Percutaneous mitral valve repair with MitraClip device in hemodynamically unstable patients: A systematic review.经皮二尖瓣修复术联合 MitraClip 装置治疗血流动力学不稳定患者:一项系统综述。
Catheter Cardiovasc Interv. 2021 Oct;98(4):E617-E625. doi: 10.1002/ccd.29703. Epub 2021 Apr 15.
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[Percutaneous mitral valve repair in acute mitral regurgitation].[急性二尖瓣反流的经皮二尖瓣修复术]
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Survival Following Edge-to-Edge Transcatheter Mitral Valve Repair in Patients With Cardiogenic Shock: A Nationwide Analysis.心原性休克患者行边缘对边缘经导管二尖瓣修复术后的生存情况:一项全国性分析。
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