[急性心肌梗死后机械并发症的经皮治疗:最新技术]。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Daniele Ronco, Matteo Matteucci, Giulio Massimi, Vittoria Lodo, Sara Garis, Arianna Scarantino, Corinne Messina, Alessandra Francica, Marco Russo, Roberto Lorusso, Fabio Barili, Alessandro Parolari
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引用次数: 0

摘要

左心室游离壁破裂、心室假性动脉瘤、乳头肌破裂和室间隔破裂是急性心肌梗死时危及生命的机械并发症。尽管过去几十年来心肌梗死患者的总死亡率有了明显改善,但心肌梗死后出现机械并发症的患者的预后仍然很差。手术治疗被认为是治疗的标准。然而,经皮方法(如心包纤维蛋白胶注射治疗左心室游离壁破裂、经导管边缘对边缘二尖瓣修复治疗乳头肌破裂、装置闭合治疗心室假性动脉瘤或室间隔破裂)已被提议用于选定的高风险或无法手术的患者,或具有理想的可行性特征的受试者,作为开放手术的替代治疗方法。本综述旨在全面概述急性心肌梗死后机械并发症的经皮治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Percutaneous treatment of post-acute myocardial infarction mechanical complications: state of the art].

Left ventricular free wall rupture, ventricular pseudoaneurysm, papillary muscle rupture and ventricular septal rupture are life-threatening mechanical complications of acute myocardial infarction. Despite significant improvements over the last decades in overall mortality for patients with myocardial infarction, the outcome of subjects who develop post-infarction mechanical complications remains poor. Surgical treatment is considered the standard of care. However, percutaneous approaches (such as pericardial fibrin-glue injection for left ventricular free wall rupture, transcatheter edge-to-edge mitral repair for papillary muscle rupture and device closure for ventricular pseudoaneurysm or septal rupture) have been proposed in selected high-risk or inoperable patients, or in subjects with ideal characteristics for feasibility, as therapeutic alternatives to open surgery. The aim of the present review is to provide a comprehensive overview of the percutaneous strategies for the management of post-acute myocardial infarction mechanical complications.

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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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