皮肤穿气球膜整形治疗中枢狭窄症的40周年:目前的状况
1Department of Cardiology, Hackensack University Medical Center, Hackensack Meridian School of Medicine, Hackensack, New Jersey, USA.
Structural heart : the journal of the Heart Team
|June 8, 2023
概括
穿皮气球 mitra valvuloplasty (PBMV) 是对 mitra 狭窄的关键治疗方法,特别是在发展中国家. 虽然在工业化国家由于风湿性心脏病病例减少而使用量下降,但PBMV仍然对特定患者至关重要.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 结构性心脏病是什么
背景情况:
- 皮肤穿透气球中枢膜整形术 (PBMV) 开创了成人结构性心脏干预.
- 对PBMV与手术的随机试验证实了结构性心脏病的高水平证据.
- 尽管40多年来设备没有改变,但改进的成像和干预心脏病专业知识提高了程序的安全性.
研究的目的:
- 审查PBMV的临床应用.
- 检查解剖学和生理学因素对PBMV结果的影响.
- 讨论指导方针的变化和额头骨狭窄症的替代治疗方法.
主要方法:
- 审查与PBMV相关的临床环境,患者因素和结果.
- 对指导方针演变和替代治疗方法的分析.
- 检查PBMV的历史背景和当前相关性.
主要成果:
- 在工业化国家,PBMV越来越多地在患者中进行,这些患者具有更多的并发症和不太有利的解剖学,从而导致更高的并发症率.
- 由于风湿性心脏病的减少,工业化国家减少了PBMV手术.
- 尽管面临挑战,但PBMV仍然是理想解剖学关狭窄症患者的首选选择,也是高风险手术候选人的宝贵工具.
结论:
- PBMV已经改变了对关节狭窄症的护理,特别是在发展中国家.
- 它仍然是工业化国家适合患者的重要治疗选择.
- 在干预性心脏病学中,PBMV需要专门的专业知识,并且具有独特的学习曲线.
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