使用球囊扩张经导管心脏瓣膜为生物人工瓣膜、环和二尖瓣环钙化相关的二尖瓣失效患者进行经导管二尖瓣置换术。

Q2 Medicine Methodist DeBakey cardiovascular journal Pub Date : 2023-05-16 eCollection Date: 2023-01-01 DOI:10.14797/mdcvj.1221
Hiroki A Ueyama, Patrick T Gleason, Vasilis C Babaliaros, Adam B Greenbaum
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引用次数: 0

摘要

使用 SAPIEN 平台的经导管二尖瓣置换术(TMVR)已在失败的生物人工瓣膜(瓣中瓣)、手术瓣环成形术(瓣环成形术)和二尖瓣瓣环钙化(MAC)的原生瓣(瓣中MAC)中应用。根据过去十年的经验,我们发现了一些重要的挑战以及改善临床效果的解决方案。在这篇综述中,我们将讨论瓣膜置入术、瓣膜置入环术和瓣膜置入二尖瓣环钙化(MAC)TMVR 的适应症、使用趋势、独特挑战、手术规划和临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Transcatheter Mitral Valve Replacement in Failed Bioprosthetic Valve, Ring, and Mitral Annular Calcification Associated Mitral Valve Disease Using Balloon Expandable Transcatheter Heart Valve.

Transcatheter mitral valve replacement (TMVR) using the SAPIEN platform has been performed in failed bioprosthetic valves (valve-in-valve), surgical annuloplasty rings (valve-in-ring), and native valves with mitral annular calcification (MAC) (valve-in-MAC). Experience over the past decade has identified important challenges and solutions to improve clinical outcomes. In this review, we discuss the indication, trend in utilization, unique challenges, procedural planning, and clinical outcomes of valve-in-valve, valve-in-ring, and valve-in-MAC TMVR.

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