目前的治疗方法和未来的挑战
Rick A Nishimura1, Alec Vahanian2, Mackram F Eleid1
1Mayo Clinic, Rochester, MN, USA.
Lancet (London, England)
|March 31, 2016
概括
随着先进的成像和手术修复和透气修复 (MitraClip) 等治疗方法的发展, 未来的方向集中在优化初级和二级腹的护理,包括透导管技术.
科学领域:
- 心脏病学
- 心脏外科
- 干预心脏病学
背景情况:
- 密特拉病的诊断和治疗正在迅速推进.
- 更好的成像和对病理学的理解使得早期诊断和复杂的治疗成为可能.
- 主要部位吐的治疗侧重于手术修复,而次要部位吐的未来不太清楚.
研究的目的:
- 审查目前的状况和未来的诊断和管理中膜疾病.
- 突出外科手术和透管干预的进展.
- 讨论环化的挑战和新出现的治疗方法.
主要方法:
- 审查当前的文献和临床试验结果.
- 分析已建立和新兴的腹治疗方法.
- 讨论成像在关膜疾病评估中的作用.
主要成果:
- 手术修复仍然是初级腹的标准,预计成功率很高.
- 通过导管修复脑膜 (MitraClip) 对高风险患者具有前景,目前正在中等风险患者中进行研究.
- 预计修复和更换的跨导管技术将扩大,特别是在环化方面.
结论:
- 接下来的五年可能会看到优化手术修复的初级心肌吐和扩大了透管干预的使用.
- 进一步的临床试验至关重要,以澄清二次腹的治疗策略.
- 透导管方法为治疗复杂的膜疾病提供了新的可能性,包括膜环化.
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