测量两次，夹一次：经导管二尖瓣边缘到边缘修复稳定性的实时评估。

IF 2.3 4区医学 Q2 ANESTHESIOLOGY

Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-03-08 DOI:10.1053/j.jvca.2025.03.005

Maciej Czarnecki, Miranda Timonen, James M McCabe, Richard Sheu

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引用次数: 0

摘要

对于部分有症状的二尖瓣反流患者来说，经导管二尖瓣边缘对边缘修复术是一种普遍接受的治疗方法。社会指南的重点是筛选患者以确定合适人选，并评估手术后的结果，包括残余反流和跨瓣梯度。我们介绍了一例通过经导管边缘到边缘修补术使二尖瓣反流立即得到很好缓解的病例，但随后出现了单瓣叶脱落，而这种情况本可以通过术中定量超声心动图评估来避免。

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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Measure Twice, Clip Once: Real-Time Assessment of Transcatheter Mitral Valve Edge-to-Edge Repair Stability.

Transcatheter edge-to-edge repair of the mitral valve is a commonly accepted therapeutic alternative for a subset of patients with symptomatic mitral regurgitation. Societal guidelines focus on the screening of patients to identify suitable candidates and evaluation of postprocedural results, including residual regurgitation and transvalvular gradient. We present a case with excellent immediate reduction of mitral regurgitation by transcatheter edge-to-edge repair, but subsequent development of single leaflet detachment that may have been prevented by intraprocedural quantitative echocardiographic assessments.

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来源期刊

Journal of cardiothoracic and vascular anesthesia 医学-呼吸系统

CiteScore

4.80

自引率

17.90%

发文量

606

审稿时长

37 days

期刊介绍： The Journal of Cardiothoracic and Vascular Anesthesia is primarily aimed at anesthesiologists who deal with patients undergoing cardiac, thoracic or vascular surgical procedures. JCVA features a multidisciplinary approach, with contributions from cardiac, vascular and thoracic surgeons, cardiologists, and other related specialists. Emphasis is placed on rapid publication of clinically relevant material.