中国医学前沿杂志(电子版)2024,Vol.16Issue(1) :72-78.DOI:10.12037/YXQY.2024.01-12

经导管缘对缘修复术治疗三尖瓣反流的现状和挑战

Current status and challenges of tricuspid transcatheter edge to edge repair

徐荣丰 丁建东 马根山
中国医学前沿杂志(电子版)2024,Vol.16Issue(1) :72-78.DOI:10.12037/YXQY.2024.01-12

经导管缘对缘修复术治疗三尖瓣反流的现状和挑战

Current status and challenges of tricuspid transcatheter edge to edge repair

徐荣丰 1丁建东 1马根山1
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作者信息

  • 1. 东南大学附属中大医院心血管内科,江苏南京 210009
  • 折叠

摘要

三尖瓣反流(tricuspid regurgitation,TR)是一种常见而严重的心脏瓣膜疾病,既往常被忽略.近年来,随着对三尖瓣疾病的认识和研究的深入,目前已开发了多种经导管介入技术治疗三尖瓣反流,其中尤以经导管缘对缘修复术治疗三尖瓣反流(tricuspid transcatheter edge-to-edge repair,T-TEER)应用最多、证据相对充分、器械进展较快.其相关器械包括MitraClip/TriClip系统、PASCAL/PASCAl Ace系统以及Dragonfly/Dragonfly-T系统等.尽管如此,由于三尖瓣特殊的解剖特点以及TR特殊的病理机制,T-TEER仍面临挑战.本文就T-TEER在国内外的发展现状以及面对的挑战作一综述,以期为T-TEER的应用推广及技术突破提供参考.

Abstract

Tricuspid regurgitation is a common and serious heart valve disease,which is usually ignored.In recent years,with the deepening of understanding and research on tricuspid valve disease,a variety of transcatheter interventional techniques have been developed to treat tricuspid valve regurgitation.Among which transcatheter edge-to-edge technology has the most practical,and rapidly developed in devices with relatively sufficient evidence,which including MitraClip/TriClip system,PASCAL/PASCAL Ace system,Dragonfly/Dragonfly-T system,etc.However,because of the special anatomical characteristics of the tricuspid valve and the special pathological mechanism of TR,transcatheter edge-to-edge repair for tricuspid regurgitation still faces challenges.In this article,the development status and challenges of T-TEER at home and abroad will be reviewed in order to provide reference for T-TEER application promotion and technical breakthrough.

关键词

经导管缘对缘/三尖瓣反流/三尖瓣修复

Key words

Transcatheter edge-to-edge technology/Tricuspid regurgitation/Tricuspid valve repair

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基金项目

国家自然科学基金(82070295)

江苏省医学重点学科/实验室建设单位基金项目(ZDXK202207)

出版年

2024
中国医学前沿杂志(电子版)
人民卫生出版社有限公司

中国医学前沿杂志(电子版)

CSTPCD北大核心
影响因子:1.088
ISSN:1674-7372
参考文献量45
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