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[急性二尖瓣反流的缘对缘治疗。西班牙心脏病学会缺血性心脏病与急性心脏护理、介入心脏病学和心血管影像协会管理方案建议]

[Edge-to-edge therapy in acute mitral regurgitation. Proposal for a management protocol of the Ischemic Heart Disease and Acute Cardiac Care, Interventional Cardiology, and Cardiovascular Imaging Associations of the Spanish Society of Cardiology].

作者信息

Viana-Tejedor Ana, Ferrera Carlos, Estévez-Loureiro Rodrigo, Barreiro-Pérez Manuel, Jiménez Quevedo Pilar, Nombela-Franco Luis, Jorge-Pérez Pablo, Pascual Isaac, Martínez Monzonís Amparo, Cid Álvarez Ana Belén

机构信息

Servicio de Cardiología, Hospital Universitario Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España Servicio de Cardiología Hospital Universitario Clínico San Carlos Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC) Madrid España.

Servicio de Cardiología, Hospital Universitario Álvaro Cunqueiro, Instituto de Investigación Sanitaria Galicia Sur (IISGS), Vigo, Pontevedra, España Servicio de Cardiología Hospital Universitario Álvaro Cunqueiro Instituto de Investigación Sanitaria Galicia Sur (IISGS) Vigo España.

出版信息

REC Interv Cardiol. 2024 Jun 10;6(4):313-320. doi: 10.24875/RECIC.M24000464. eCollection 2024 Oct-Dec.

Abstract

The approach to patients with acute mitral regurgitation poses a therapeutic challenge. These patients have a very high morbidity and mortality rate, thus requiring a multidisciplinary approach. This document presents the position of 3 associations involved in the management of these patients: the Ischemic Heart Disease and Acute Cardiovascular Care Association, the Interventional Cardiology Association, and the Cardiac Imaging Association. The document discusses aspects related to patient selection and care, technical features of the edge-to-edge procedure from both the interventional and imaging unit perspectives, and the outcomes of this process. The results of mitral repair and/or replacement surgery, which is the first-line treatment option to consider in these patients, have not been included as they exceed the scope of the aims of the document.

摘要

急性二尖瓣反流患者的治疗方法具有挑战性。这些患者的发病率和死亡率非常高,因此需要多学科方法。本文阐述了参与这些患者管理的3个协会的立场:缺血性心脏病与急性心血管护理协会、介入心脏病学协会和心脏影像协会。本文讨论了与患者选择和护理相关的方面、从介入和影像科室角度看缘对缘手术的技术特点以及该手术的结果。二尖瓣修复和/或置换手术是这些患者首先要考虑的一线治疗选择,其结果未被纳入,因为它们超出了本文的目标范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ee4/12097375/b7f3f3139d14/2604-7306-recic-6-4-313-en-gf1.jpg

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