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经食管超声心动图引导下二尖瓣环成形术后严重二尖瓣反流的经导管二尖瓣缘对缘修复：病例系列

Transesophageal Echocardiography Guidance during Transcatheter Mitral Valve Edge-to-Edge Repair for Severe Mitral Regurgitation Post-Mitral Annuloplasty: A Case Series.

作者信息

Katz William, Suffoletto Matthew, Fowler Jeffrey, Jaramillo-Restrepo Valentina, Sanon Saurabh, Smith Conrad

机构信息

Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

出版信息

CASE (Phila). 2024 Nov 16;8(12):525-534. doi: 10.1016/j.case.2024.09.006. eCollection 2024 Dec.

DOI:10.1016/j.case.2024.09.006
PMID:39885887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11775905/
Abstract

• Redo surgery for severe MR after MA can be high risk. • m-TEER can be successful if patient is not a candidate for redo surgery or valve-in-ring. • Small mitral orifice area and postdevice mean gradient may limit m-TEER to 1 device. • We present 3 cases of m-TEER for severe MR after MA. • TEE guidance may optimize m-TEER success for severe MR after MA.

摘要

• 二尖瓣置换术后严重二尖瓣反流再次手术风险可能很高。

• 如果患者不适合再次手术或瓣膜环内植入瓣膜，经皮二尖瓣缘对缘修复术（m-TEER）可能会成功。

• 二尖瓣口面积小和装置植入后平均压差可能会将m-TEER限制为单次装置植入。

• 我们展示了3例二尖瓣置换术后严重二尖瓣反流行m-TEER的病例。

• 经食管超声心动图（TEE）引导可能会优化二尖瓣置换术后严重二尖瓣反流的m-TEER成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/4cbd809a2a74/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/827c60509e94/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/496aea5e9940/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/669da318e341/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/6a50ebb6affe/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/3edc5324b958/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/6850db0d011f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/526ee2b33612/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/00e004ec0421/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/eaf08bd91300/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/4c8c473cfc80/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/53dc427b135e/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/f97bfa30eae9/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/4cbd809a2a74/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/827c60509e94/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/496aea5e9940/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/669da318e341/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/6a50ebb6affe/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/3edc5324b958/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/6850db0d011f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/526ee2b33612/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/00e004ec0421/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/eaf08bd91300/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/4c8c473cfc80/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/53dc427b135e/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/f97bfa30eae9/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac4/11775905/4cbd809a2a74/gr12.jpg

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J Am Soc Echocardiogr. 2024 Mar;37(3):328-337. doi: 10.1016/j.echo.2023.11.007. Epub 2023 Nov 14.
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Expanding the Spectrum of TEER Suitability: Evidence From the EXPAND G4 Post Approval Study.扩展 TEER 适用性范围：EXPAND G4 上市后研究证据。
JACC Cardiovasc Interv. 2023 Jun 26;16(12):1474-1485. doi: 10.1016/j.jcin.2023.05.014.
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Percutaneous Transcatheter Edge-to-Edge Mitral Valve Repair With MitraClip System in the Era of G4.
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