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继发性二尖瓣反流：诊断与管理

Secondary Mitral Regurgitation: Diagnosis and Management.

作者信息

Dhaduk Nehal, Chaus Adib, Williams David, Vainrib Alan, Ibrahim Homam

机构信息

The Leon H Charney Division of Cardiology, New York University Langone Medical Center New York City, NY.

出版信息

US Cardiol. 2024 Mar 18;18:e05. doi: 10.15420/usc.2022.34. eCollection 2024.

DOI:10.15420/usc.2022.34
PMID:39494412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11526499/
Abstract

Secondary mitral regurgitation is one of the most common valve diseases. The disease is a result of left atrial or left ventricular dysfunction. It is generally classified into stages based on its severity. While surgical intervention does not confer improved survival in this subset of mitral disease, recent advances in transcatheter interventions have resulted in improved survival and symptomatology in carefully selected patients. In this review, the multimodality imaging evaluation of the mitral valve and secondary mitral regurgitation is discussed. Commercially available and investigational transcatheter interventions for secondary mitral regurgitation management are also reviewed.

摘要

继发性二尖瓣反流是最常见的瓣膜疾病之一。该疾病是左心房或左心室功能障碍的结果。它通常根据严重程度进行分期。虽然手术干预并不能提高这类二尖瓣疾病患者的生存率，但经导管介入治疗的最新进展已使精心挑选的患者的生存率和症状得到改善。在这篇综述中，讨论了二尖瓣和继发性二尖瓣反流的多模态成像评估。还综述了用于继发性二尖瓣反流治疗的商用和研究性经导管介入治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/1c14dd6757e1/usc-18-e05-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/0cbf0d626d0a/usc-18-e05-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/fc25f5587d2f/usc-18-e05-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/1c14dd6757e1/usc-18-e05-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/0cbf0d626d0a/usc-18-e05-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/fc25f5587d2f/usc-18-e05-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b596/11526499/1c14dd6757e1/usc-18-e05-g003.jpg

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Circ Cardiovasc Interv. 2023 Jun;16(6):e013045. doi: 10.1161/CIRCINTERVENTIONS.123.013045. Epub 2023 May 16.
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Thirty-day and one-year outcomes following transcatheter mitral valve edge-to-edge repair versus transapical mitral valve replacement in patients with left ventricular dysfunction.左心室功能不全患者经导管二尖瓣缘对缘修复与经心尖二尖瓣置换术后30天和1年的结果
AsiaIntervention. 2023 Mar 15;9(1):78-86. doi: 10.4244/AIJ-D-22-00049. eCollection 2023 Mar.
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Five-Year Follow-up after Transcatheter Repair of Secondary Mitral Regurgitation.
经导管修复二尖瓣反流后的 5 年随访。
N Engl J Med. 2023 Jun 1;388(22):2037-2048. doi: 10.1056/NEJMoa2300213. Epub 2023 Mar 5.
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2-Year Outcomes of Transcatheter Mitral Valve Replacement in Patients With Annular Calcification, Rings, and Bioprostheses.经导管二尖瓣置换术治疗瓣环钙化、瓣环及生物瓣患者的 2 年结果。
J Am Coll Cardiol. 2022 Dec 6;80(23):2171-2183. doi: 10.1016/j.jacc.2022.09.037.
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