跨导管边缘到边缘的 mitra 门修复装置 栓塞进入右下肺静脉
Dennis D Kumi1, Pablo Barzallo1, Kumaran S Senthil1
1Department of Medicine, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA.
JACC. Case reports
|March 6, 2026
概括
使用MitraClip的跨导管边缘到边缘修复 (TEER) 正在增加. 这份报告详细介绍了MitraClip栓塞进入肺静脉的第一个案例,使用子陷成功检索.
科学领域:
- 心血管干预 心血管干预
- 医疗器械并发症 医疗器械并发症
- 结构性心脏病是一种心脏病.
背景情况:
- 越来越多地使用跨导管端到端修复 (TEER) 程序,包括MitraClip,由于其卓越的有效性和安全性.
- MitraClip栓塞是一种罕见的并发症,发生在高达0.1%的病例中.
- 肺静脉内栓塞以前没有在文献中报告过.
研究的目的:
- 报告第一个MitraClip设备栓塞进入肺静脉的病例.
- 为了描述成功地检索出一个栓塞的MitraClip.
- 突出了适当的导管选择取回的重要性.
主要方法:
- 一名77岁的男性患有严重的腹和心脏性休克,接受了MitraClip手术.
- 第二个MitraClip的部署因锁定线索结结而复杂,导致设备栓塞到右下肺静脉中.
- 经食道回声心脏学指导的检索是通过多用途导管使用子陷进行的.
主要成果:
- 栓塞的MitraClip成功地使用了子陷和多用途导管组件进行了检索.
- 检索过程证明了足够的范围,扭矩和机动性,以安全地移除设备.
- 在检索程序期间或之后没有报告任何不良事件.
结论:
- 一个MitraClip的肺静脉栓塞是一个罕见的事件,锁线故障是一个不常见的机制.
- 这个案例代表了MitraClip栓塞进入肺静脉的第一份报告.
- 成功的检索强调了专门的导管技术和设备选择在管理这种并发症中的关键作用.
相关概念视频
Mitral Stenosis III: Medical Management
390
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...
390
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
576
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
576
Mitral Regurgitation III: Medical Management
469
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...
469
Cardiac Catheterization II: Right Heart Catheterization
1.5K
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...
1.5K


