用单个TriClip可转向导导管组合的 mitralic 和 tricuspid TEER:一个单中心研究
Georgios E Papadopoulos1, Ilias Ninios1, Sotirios Evangelou1
12nd Cardiology Department, Interbalkan Medical Center, Thessaloniki, Greece.
概括
这项研究表明,使用单个导管导管用于合并的 mitralia 和 tricuspid transcatheter 边缘到边缘修复 (TEER) 是安全有效的. 该程序改善了患者的心脏功能,并减少了吐,取得了很好的结果.
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
- 医疗器械 医疗器械
背景情况:
- 传统的联合 mitralic (M-TEER) 和三管 (T-TEER) 程序使用单独的系统,增加复杂性和风险.
- 评估一种使用单个TriClip可转向导管 (SGC) 进行同时M-TEER和T-TEER的新方法.
研究的目的:
- 评估结合M-TEER和T-TEER与单个TriClip SGC的安全性和有效性.
- 评估手术结果,减少额头回 (MR) 和三角回 (TR) 严重程度,以及改善纽约心脏协会 (NYHA) 课程.
主要方法:
- 对接受M-和T-TEER联合治疗的中度至重度MR和重度TR (NYHA类III-IV) 患者的回顾性分析.
- 在2022年1月至2024年12月的两次门维修中都使用了相同的TriClip SGC.
主要成果:
- 在42名患者中100%的植入成功率;平均手术时间71.2±9.6分钟.
- 在30天内没有重大不良事件;4.8%的患者经历了单片说明书装置的附着.
- 在1年的随访中,所有患者的病情改善到NYHA类≤II,MR≤2+,81%的患者有微不足道/轻微的TR.
结论:
- 结合M-TEER和T-TEER与单个TriClip SGC是一个安全有效的治疗策略.
- 这种方法导致严重的门吐患者的功能和心声学显著改善.
相关概念视频
01:28Cardiac Catheterization I: Pre-Procedure Overview
3.4K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
3.4K
01:21Cardiac Catheterization II: Right Heart Catheterization
2.2K
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
2.2K
01:24Cardiac Catheterization III: Left Heart Catheterization
1.3K
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
1.3K
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
557
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
557
01:26Mitral Stenosis III: Medical Management
535
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
535