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井上球囊二尖瓣交界切开术的陷阱与技巧

Pitfalls and tips in inoue balloon mitral commissurotomy.

作者信息

Hung J S, Lau K W

机构信息

Chang Gung Medical College, Taipei, Taiwan, Republic of China.

出版信息

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.

DOI:10.1002/(SICI)1097-0304(199602)37:2<188::AID-CCD19>3.0.CO;2-G
PMID:8808080
Abstract

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.

摘要

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。

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1
Pitfalls and tips in inoue balloon mitral commissurotomy.井上球囊二尖瓣交界切开术的陷阱与技巧
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.
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Acta Cardiol Sin. 2014 May;30(3):245-7.
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Percutaneous mitral valvuloplasty using echocardiographic intercommissural diameter as reference for balloon sizing: a randomized controlled trial.经胸超声心动图测量二尖瓣瓣环交界间距指导二尖瓣球囊成形术的随机对照研究
Clin Cardiol. 2012 Dec;35(12):749-54. doi: 10.1002/clc.22013. Epub 2012 Jun 6.
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New Scores for the Assessment of Mitral Stenosis Using Real-Time Three-Dimensional Echocardiography.
使用实时三维超声心动图评估二尖瓣狭窄的新评分
Curr Cardiovasc Imaging Rep. 2011 Oct;4(5):370-377. doi: 10.1007/s12410-011-9099-z. Epub 2011 Jul 9.
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Echocardiographic assessment of mitral valve morphology after Percutaneous Transvenous Mitral Commissurotomy (PTMC).经皮经静脉二尖瓣交界切开术(PTMC)后二尖瓣形态的超声心动图评估。
Cardiovasc Ultrasound. 2007 Dec 8;5:48. doi: 10.1186/1476-7120-5-48.
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Percutaneous mitral balloon valvuloplasty.经皮二尖瓣球囊瓣膜成形术
Clin Cardiol. 1999 Aug;22(8):501-3. doi: 10.1002/clc.4960220803.
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Percutaneous transvenous mitral commissurotomy versus surgical commissurotomy in the treatment of mitral stenosis.经皮经静脉二尖瓣交界切开术与外科交界切开术治疗二尖瓣狭窄的比较
Clin Cardiol. 1997 Feb;20(2):99-106. doi: 10.1002/clc.4960200204.