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射血分数降低的心力衰竭的经皮治疗进展:针对不良心室功能的强大武器库。

Update on Percutaneous Treatment for HFrEF: A Great Armamentarium for a Poor Ventricular Function.

作者信息

Sisinni Antonio, Casenghi Matteo, Popolo Rubbio Antonio, Berni Andrea, Bedogni Francesco, Barbato Emanuele

机构信息

Clinical and Interventional Cardiology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.

Department of Clinical and Molecular Medicine, School of Medicine and Psychology, University of Rome "La Sapienza", 1035 Rome, Italy.

出版信息

Rev Cardiovasc Med. 2023 Apr 26;24(5):128. doi: 10.31083/j.rcm2405128. eCollection 2023 May.

DOI:10.31083/j.rcm2405128
PMID:39076731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11273015/
Abstract

Pharmacological treatment is the cornerstone therapy of heart failure with reduced ejection fraction (HFrEF). In addition, several percutaneous techniques have been developed to treat symptomatic patients, with specific heart failure (HF) phenotypes (e.g., valvular heart disease) that require non-pharmacological treatment. Given their prognostic relevance, it is imperative to deliver high-level patient care. This review provides a clinical overview on the available data regarding transcatheter devices in the armamentarium of contemporary interventional cardiologists, focusing on the clinical and anatomical selection criteria.

摘要

药物治疗是射血分数降低的心力衰竭(HFrEF)的基石疗法。此外,已经开发了几种经皮技术来治疗有症状的患者,这些患者具有需要非药物治疗的特定心力衰竭(HF)表型(例如,心脏瓣膜病)。鉴于其预后相关性,提供高水平的患者护理势在必行。本综述概述了当代介入心脏病学家可用设备中有关经导管装置的现有数据,重点关注临床和解剖学选择标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe49/11273015/024019b7c5b8/2153-8174-24-5-128-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe49/11273015/024019b7c5b8/2153-8174-24-5-128-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe49/11273015/024019b7c5b8/2153-8174-24-5-128-g1.jpg

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本文引用的文献

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Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4.G4时代使用MitraClip系统进行经皮导管二尖瓣缘对缘修复术
Struct Heart. 2022 Nov 12;7(2):100114. doi: 10.1016/j.shj.2022.100114. eCollection 2023 Mar.
2
Device-based percutaneous treatments to decompress the left atrium in heart failure with preserved ejection fraction.基于器械的经皮治疗以减轻射血分数保留的心力衰竭患者的左心房压力。
Heart Fail Rev. 2023 Mar;28(2):315-330. doi: 10.1007/s10741-022-10280-4. Epub 2022 Nov 19.
3
Self-expanding Transcatheter vs Surgical Aortic Valve Replacement in Intermediate-Risk Patients: 5-Year Outcomes of the SURTAVI Randomized Clinical Trial.
经导管自膨式主动脉瓣置换术与外科主动脉瓣置换术治疗中危患者的 5 年结果:SURTAVI 随机临床试验。
JAMA Cardiol. 2022 Oct 1;7(10):1000-1008. doi: 10.1001/jamacardio.2022.2695.
4
2021 ESC/EACTS Guidelines for the management of valvular heart disease: Developed by the Task Force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS).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:由欧洲心脏病学会(ESC)心脏瓣膜病管理特别工作组和欧洲心胸外科学会(EACTS)制定。
Rev Esp Cardiol (Engl Ed). 2022 Jun;75(6):524. doi: 10.1016/j.rec.2022.05.006.
5
6-Month Outcomes of the TricValve System in Patients With Tricuspid Regurgitation: The TRICUS EURO Study.三尖瓣系统治疗三尖瓣反流患者的 6 个月结果:TRICUS EURO 研究。
JACC Cardiovasc Interv. 2022 Jul 11;15(13):1366-1377. doi: 10.1016/j.jcin.2022.05.022. Epub 2022 May 17.
6
Effect of Chronic Kidney Disease on 5-Year Outcome in Patients With Heart Failure and Secondary Mitral Regurgitation Undergoing Percutaneous MitraClip Insertion.慢性肾脏病对行经皮二尖瓣夹合术治疗的心力衰竭合并继发性二尖瓣反流患者 5 年预后的影响。
Am J Cardiol. 2022 May 15;171:105-114. doi: 10.1016/j.amjcard.2022.01.048. Epub 2022 Mar 19.
7
Transfemoral Tricuspid Valve Replacement in Patients With Tricuspid Regurgitation: TRISCEND Study 30-Day Results.经股三尖瓣置换术治疗三尖瓣反流患者:TRISCEND 研究 30 天结果。
JACC Cardiovasc Interv. 2022 Mar 14;15(5):471-480. doi: 10.1016/j.jcin.2022.01.016.
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One-year results following PASCAL-based or MitraClip-based mitral valve transcatheter edge-to-edge repair.基于 PASCAL 或 MitraClip 的二尖瓣经导管缘对缘修复术后 1 年结果。
ESC Heart Fail. 2022 Apr;9(2):853-865. doi: 10.1002/ehf2.13849. Epub 2022 Feb 15.
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JACC Heart Fail. 2022 Feb;10(2):73-84. doi: 10.1016/j.jchf.2021.09.004. Epub 2021 Dec 8.