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经导管二尖瓣缘对缘修复:当前认识与策略原则

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治疗二尖瓣反流(mitral regurgitation,MR)的经导管缘对缘修复技术(transcatheter edge-to-edge repair,TEER)称为M-TEER.其具有靶点精确、植入物少;原理简单,容易经导管实现;医学原理可靠,以不变应万变的优势;并且TEER相对于外科缘对缘修复(surgical edge-to-edge repair,SEER)更有术中实时评估疗效和血流动力学的优势.对于退行性二尖瓣反流患者,M-TEER应该追求更完美的手术效果,使M-TEER术后即刻MR0~1+,而对于功能性二尖瓣反流,M-TEER允许中度残余分流或者轻度压差,不影响患者预后并且降低并发症几率.
Mitral transcatheter edge-to-edge repair:A state of art and strategic principles
Transcatheter edge-to-edge repair(TEER)for mitral regurgitation(MR)is known as M-TEER.Its strengths include:precise targets and fewer implants;simple and clear principles for catheterization;originating from dependable medical concepts and broad applicability.Furthermore,TEER offers advantages in real-time hemodynamic and effectiveness measurement throughout the procedure over surgical edge-to-edge repair(SEER).When it comes to patients with degenerative mitral regurgitation,M-TEER should aim to deliver more optimum procedural outcomes.In functional mitral regurgitation,a modest transvalvular gradients or moderate residual shunt can be tolerated with M-TEER,which reduces the risk of problems and has no bearing on the patient's prognosis.

Mitral regurgitationtranscatheter edge-to-edge repairintervention technology

潘文志、龙愉良、周达新、葛均波

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复旦大学附属中山医院心内科上海市心血管病研究所国家放射与治疗临床医学研究中心(上海 200032)

二尖瓣反流 经导管缘对缘修复技术 介入技术

国家自然科学基金项目

82270377

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(2)
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