转导管中枢干预对中枢反的当代审查
Nicholas Chan1,2, Tiffany Dong1, Nabil Sabbak3
1Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland, OH 44195, USA.
Life (Basel, Switzerland)
|July 29, 2023
概括
过导管 mitra 干预为高风险的 mitra 吐 (MR) 患者提供了新的选择. 本综述涵盖了这些先进程序的技术,证据和结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 膜心脏疾病 膜心脏疾病
背景情况:
- 副心脏反 (MR) 是美国最常见的膜心脏病.
- 已确立的外科手术指南存在,但高风险患者 (老年人,心力衰竭,二次MR) 有未满足的需求.
- 跨导管大动脉置换的成功刺激了跨导管二心干预.
研究的目的:
- 对高风险的MR患者进行当代跨导管中枢干预的审查.
- 讨论技术,证据,指示,成像和结果.
- 为了突出管理复杂的 mitra 排泄的进步.
主要方法:
- 审查当前的跨导管额头干预技术.
- 对临床试验数据和证据的分析.
- 讨论患者评估的多模式成像.
主要成果:
- 目前有三种主要的跨导管方法:边缘到边缘的修复,皮肤间的 mitra annuloplasty 和跨导管的 mitra 门更换.
- 这些干预措施解决了高风险MR患者尚未满足的需求.
- 目前正在进行的研究和试验正在扩大治疗选择.
结论:
- 通过导管介面的干预措施代表了在管理MR的重大进步.
- 这些最小侵入性选择为以前无法治疗的患者小组提供了希望.
- 进一步的研究将完善指示并改善结果.
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