Hung J S, Lau K W
Chang Gung Medical College, Taipei, Taiwan, Republic of China.
Cathet Cardiovasc Diagn. 1996 Feb;37(2):188-99. doi: 10.1002/(SICI)1097-0304(199602)37:2<188::AID-CCD19>3.0.CO;2-G.
Balloon mitral commissurotomy is a safe and effective alternative therapeutic modality in selected patients with significant rheumatic mitral stenosis. Since its introduction in 1984, Inoue balloon mitral commissurotomy has gained wider acceptance over other balloon valvuloplasty techniques because it is technically less demanding and associated with fewer complications. Nevertheless, certain pitfalls which may make the procedure more difficult or create complications are sometimes encountered. In this article, we offer tips to facilitate a safe and expeditious execution of Inoue balloon mitral commissurotomy based on our experience with over 1,000 procedures.
对于部分有严重风湿性二尖瓣狭窄的患者而言,球囊二尖瓣交界切开术是一种安全有效的替代治疗方式。自1984年问世以来,相较于其他球囊瓣膜成形技术,Inoue球囊二尖瓣交界切开术得到了更广泛的认可,因为该技术对技术要求较低且并发症较少。然而,有时会遇到一些可能使手术难度增加或引发并发症的陷阱。在本文中,我们根据超过1000例手术的经验,提供一些有助于安全、快速实施Inoue球囊二尖瓣交界切开术的技巧。