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计算机辅助经导管二尖瓣瓣中瓣植入术。

Computer-Assisted Transcatheter Mitral Valve Implantation for Valve-in-Valve Procedures.

机构信息

LTSI-UMR 1099 - INSERM, University Hospital Center of Rennes - Pontchaillou, Rennes, France.

出版信息

Braz J Cardiovasc Surg. 2024 May 15;39(4):e20230237. doi: 10.21470/1678-9741-2023-0237.

DOI:10.21470/1678-9741-2023-0237
PMID:38748975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11095253/
Abstract

Transcatheter mitral valve-in-valve is an alternative to high-risk reoperation on a failing bioprosthesis. It entails specific challenges such as left ventricular outflow tract obstruction. We propose a patient-specific augmented imaging based on preoperative planning to assist the procedure. Valve-in-valve simulation was performed to represent the optimal level of implantation and the neo-left ventricular outflow tract. These data were combined with intraoperative images through a real-time 3D/2D registration tool. All data were collected retrospectively on one case (pre and per-procedure imaging). We present for the first time an intraoperative guidance tool in transcatheter mitral valve-in-valve procedure.

摘要

经导管二尖瓣瓣中瓣术是一种治疗生物瓣衰败高危再手术的替代方法。它存在一些特殊的挑战，如左心室流出道梗阻。我们提出了一种基于术前规划的患者特异性增强成像，以辅助手术。我们进行了瓣中瓣模拟，以代表最佳的植入水平和新的左心室流出道。这些数据通过实时 3D/2D 配准工具与术中图像相结合。所有数据均在一个病例上进行回顾性收集（术前和术中成像）。我们首次在经导管二尖瓣瓣中瓣手术中提出了一种术中指导工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f847/11095253/512aba24a573/bjcvs-39-04-e20230237-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f847/11095253/383eb7981f13/bjcvs-39-04-e20230237-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f847/11095253/512aba24a573/bjcvs-39-04-e20230237-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f847/11095253/383eb7981f13/bjcvs-39-04-e20230237-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f847/11095253/512aba24a573/bjcvs-39-04-e20230237-g02.jpg

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本文引用的文献

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Computer-assisted valve in valve in a deteriorated Mosaic valve using a library of bioprostheses.计算机辅助在使用生物假体库的衰败 Mosaic 瓣中进行瓣中瓣手术。
Catheter Cardiovasc Interv. 2021 May 1;97(6):E893-E896. doi: 10.1002/ccd.29395. Epub 2020 Nov 19.
2
Pre-procedural planning of transcatheter mitral valve replacement in mitral stenosis with multi-detector tomography-derived 3D modeling and printing: a case report.基于多排螺旋CT三维建模与打印的二尖瓣狭窄经导管二尖瓣置换术前规划：一例报告
Eur Heart J Case Rep. 2020 May 10;4(3):1-6. doi: 10.1093/ehjcr/ytaa098. eCollection 2020 Jun.
3
Thirty-Day Outcomes of Transcatheter Mitral Valve Replacement for Degenerated Mitral Bioprostheses (Valve-in-Valve), Failed Surgical Rings (Valve-in-Ring), and Native Valve With Severe Mitral Annular Calcification (Valve-in-Mitral Annular Calcification) in the United States: Data From the Society of Thoracic Surgeons/American College of Cardiology/Transcatheter Valve Therapy Registry.
美国经导管二尖瓣置换术治疗退行性生物瓣二尖瓣置换术（瓣中瓣）、外科环失败（瓣中瓣）和严重二尖瓣瓣环钙化的原生瓣（瓣环瓣环钙化）的 30 天结果：来自胸外科医师学会/美国心脏病学会/经导管瓣膜治疗登记处的数据。
Circ Cardiovasc Interv. 2020 Mar;13(3):e008425. doi: 10.1161/CIRCINTERVENTIONS.119.008425. Epub 2020 Mar 6.
4
Complexities of transcatheter mitral valve replacement (TMVR) and why it is not transcatheter aortic valve replacement (TAVR).经导管二尖瓣置换术（TMVR）的复杂性以及它与经导管主动脉瓣置换术（TAVR）不同的原因。
Ann Cardiothorac Surg. 2018 Nov;7(6):724-730. doi: 10.21037/acs.2018.10.06.
5
Early Outcomes of Percutaneous Transvenous Transseptal Transcatheter Valve Implantation in Failed Bioprosthetic Mitral Valves, Ring Annuloplasty, and Severe Mitral Annular Calcification.经皮经静脉经房间隔穿刺导管二尖瓣瓣中生物瓣置换、瓣环成形术和严重二尖瓣瓣环钙化失败后的早期结果。
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Innovations (Phila). 2016 May-Jun;11(3):193-200. doi: 10.1097/IMI.0000000000000259.
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