使用新一代跨导管边缘到边缘装置预测分娩后的额头的可预测性
Katharina Hellhammer1, Florian Schindhelm2, Tobias Geisler3
1Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University Hospital Essen, University of Duisburg-Essen, 45147, Essen, Germany. katharina.hellhammer@uk-essen.de.
概括
通过PASCAL Precision系统进行过导管边缘到边缘修复 (TEER) 显示稳定的双肩吐 (MR) 减少设备释放后. 大多数患者保持或改善了他们的MR状态,这表明该程序的可靠结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 装置部署后稳定减少 mitrale 吐 (MR) 对于跨导管边缘到边缘修复 (TEER) 成功至关重要.
- 需要对PASCAL Precision系统在设备释放后对残留MR变化的影响进行评估.
- 了解影响残留MR的因素是程序优化的关键.
研究的目的:
- 在TEER期间释放器件后评估残留MR变化的过程内发生率,使用PASCAL精度系统.
- 确定影响这些残留MR变化的潜在因素.
- 用PASCAL系统评估MR减少的稳定性和可预测性.
主要方法:
- 一个多中心的,251名患者进行TEER与帕斯卡精密系统进行后期分析.
- 蒙蔽,中央核心实验室评估MR严重程度的设备前和后释放.
- 将MR变化分类为不变,改善或恶化,分析MR病因和门复杂性.
主要成果:
- 程序上的成功率高达97.2%.
- 设备释放后,残留MR改善了13.5%,在78.5%的患者中保持不变,在8%的患者中恶化.
- 根据MR病因或门复杂性标准,没有观察到MR变化的显著差异.
结论:
- 使用 PASCAL Precision 系统的 TEER 显示出稳定的手术内 mitrale 排泄结果.
- 超过90%的患者从设备释放前到设备释放后的MR状态没有恶化.
- 帕斯卡系统提供可靠的MR减少,无论门的复杂性或病因.
相关概念视频
01:25Mitral Regurgitation III: Medical Management
34
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
34
01:20Mitral Regurgitation I: Introduction
64
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
64
01:23Mitral Regurgitation II: Clinical Features and Diagnostic Tests
60
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
60
01:28Mitral Regurgitation IV: Nursing Management
92
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
92
01:22Mitral Valve Prolapse II: Assessment and Management
45
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
45
01:15Aortic Regurgitation I: Introduction
45
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
45