Punamiya K, Beekman R H, Shim D, Muller D W
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109-0119, USA.
Cathet Cardiovasc Diagn. 1996 Oct;39(2):204-6. doi: 10.1002/(SICI)1097-0304(199610)39:2<204::AID-CCD22>3.0.CO;2-F.
A novel, transhepatic approach to mitral valvuloplasty is described in a patient with an inferior vena caval filter. After transhepatic transseptal puncture, an Inoue dilatation catheter was passed through the hepatic parenchyma and across the atrial septum. Balloon mitral valvuloplasty was performed without complications. This approach should be considered when femoral venous access is restricted or is not feasible.
描述了一种针对患有下腔静脉滤器的患者的新型经肝二尖瓣成形术方法。经肝房间隔穿刺后，将Inoue扩张导管穿过肝实质并穿过房间隔。成功进行了球囊二尖瓣成形术，无并发症发生。当股静脉通路受限或不可行时，应考虑这种方法。
