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经皮二尖瓣夹合术（MitraClip）后医源性二尖瓣狭窄中行房间隔造口术的血流动力学效应

The Hemodynamic Effects of Interatrial Septostomy in Iatrogenic Mitral Stenosis Following MitraClip.

作者信息

Harmon Evan, Zorach Benjamin, Harb Serge, Kapadia Samir, Reed Grant

机构信息

Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio.

出版信息

J Soc Cardiovasc Angiogr Interv. 2024 May 18;3(7):102019. doi: 10.1016/j.jscai.2024.102019. eCollection 2024 Jul.

DOI:10.1016/j.jscai.2024.102019
PMID:39132010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11307901/
Abstract

Iatrogenic mitral stenosis is a rare complication of the MitraClip procedure for which limited therapeutic options exist. We present a unique case using real-time echocardiographic and hemodynamic data demonstrating a potential role for interatrial septostomy creation as a percutaneous management option in this challenging population.

摘要

医源性二尖瓣狭窄是MitraClip手术的一种罕见并发症，针对该并发症的治疗选择有限。我们展示了一个独特病例，利用实时超声心动图和血流动力学数据，证明了房间隔造口术作为一种经皮管理选择在这一具有挑战性的人群中的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/1ff9a062615f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/8730edf699d3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/5b9fb2232274/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/1ff9a062615f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/8730edf699d3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/5b9fb2232274/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2f2/11307901/1ff9a062615f/gr3.jpg

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本文引用的文献

1
Outcomes in Patients With High Transmitral Gradient After Mitral Valve Transcatheter Edge-to-Edge Repair for Mitral Regurgitation.二尖瓣反流经导管缘对缘修复术后高二尖瓣跨瓣梯度患者的结局。
Am J Cardiol. 2022 Nov 1;182:46-54. doi: 10.1016/j.amjcard.2022.07.036. Epub 2022 Sep 6.
2
Complications Following Percutaneous Mitral Valve Edge-to-Edge Repair Using MitraClip.使用MitraClip进行经皮二尖瓣缘对缘修复后的并发症
JACC Case Rep. 2021 Mar 17;3(3):370-376. doi: 10.1016/j.jaccas.2020.12.046. eCollection 2021 Mar.
3
2020 ACC/AHA guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
2020年美国心脏病学会/美国心脏协会瓣膜性心脏病患者管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告
J Thorac Cardiovasc Surg. 2021 Aug;162(2):e183-e353. doi: 10.1016/j.jtcvs.2021.04.002. Epub 2021 May 8.
4
Lutembacher's syndrome.鲁登巴赫综合征
J Cardiovasc Dis Res. 2012 Apr;3(2):179-81. doi: 10.4103/0975-3583.95381.