通过导管治疗中枢吐的临床挑战和可能的解决方案
Paul Sorajja1, Martin B Leon2, David H Adams2
1From Valve Science Center, Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis (P.S., R.S.F.); Columbia University, New York (M.B.L.); Mount Sinai Medical Center, New York (D.H.A.); and St Paul's Hospital, Vancouver, British Columbia, Canada (J.G.W.). paul.sorajja@allina.com.
Circulation
|July 26, 2017
概括
这种严重的心脏病通常需要手术. 新兴的跨导管关治疗为患者提供了新的修复和替代选择,尽管需要进一步的研究.
科学领域:
- 心脏病学
- 干预心脏病学
- 医疗器械
背景情况:
- 严重的腹 (MR) 是一种普遍且复杂的心脏疾病,与患者的不良结果有关.
- 很长一段时间以来, 手术一直是MR的治疗方法.
- 在严重的MR患者中,仍然存在显著的未满足的临床需求.
研究的目的:
- 审查通过导管治疗的出现和潜力.
- 突出这些新技术在解决当前治疗缺口方面的作用.
- 强调需要进一步临床评估跨导管关干预.
主要方法:
- 目前关于透气管中门修复和更换技术的文献审查.
- 分析潜在的临床应用和患者选择标准.
- 讨论这些设备所需的正在进行和未来的研究.
主要成果:
- 包括修复和替换在内的跨导管关治疗正在成为手术的可行替代方案.
- 这些技术对患有本地 mitralia 吐症的患者来说是有前途的.
- 完整的疗效和安全性需要广泛的临床验证.
结论:
- 通过导管进行的 mitra 疗法在治疗严重的 mitra 吐方面取得了重大进展.
- 进一步严格的临床研究对于确定安全性,疗效和最佳患者选择至关重要.
- 这些创新方法可能为改善患者生活质量提供新的治疗策略.
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