哪些病变不适合三管切割?
1Structural Heart Program, Division of Cardiology, St. Michael's Hospital, Toronto, Ontario, Canada.
Current opinion in cardiology
|December 20, 2023
概括
三管横导管边缘到边缘修复 (T-TEER) 对于严重的三管吐是有效的,但有局限性. 患者,解剖学和成像因素可能使病变不适合目前基于剪贴的T-TEER.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
背景情况:
- 严重的三回 (TR) 带来了重大挑战,特别是对于手术风险过高的患者.
- 三管横导管边缘到边缘修复 (T-TEER) 提供了一种不那么侵入性的选择,但它的疗效受到特定患者和病变特征的限制.
- 新兴的TR的皮肤间疗法需要对当前T-TEER的局限性进行批判性评估.
结论:
- 多学科的"心脏团队"方法对于T-TEER的最佳患者选择至关重要.
- 目前基于剪贴的T-TEER对于某些患者和病变配置文件来说是不理想的.
- 未来的研究应该专注于先进的技术,如3D建模和个性化设备尺寸,以扩大T-TEER的适用性.
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