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摘要: 外科手术是低中危的二尖瓣反流(MR)患者的黄金标准治疗方法,但许多患者因围术期风险过大禁忌外科手术。近年来,MR在高龄高危手术风险患者中的患病率越来越高,多项临床研究证实了经导管二尖瓣缘对缘修复为MR最重要、最广泛的治疗手段,具有较高的安全性、有效性以及耐久性。目前许多其他经导管二尖瓣修复技术正在研发中,并处于研究阶段,期待越来越多的经导管二尖瓣修复技术问世,给治疗MR带来新的选择。
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关键词:
- 二尖瓣反流 /
- 经导管缘到缘二尖瓣修复 /
- 可用装置 /
- 局限性
Abstract: Although surgery is the gold standard treatment for low-to-moderate-risk mitral regurgitation (MR) patients, surgery is contraindicated in many patients due to excessive perioperative risk. In recent years, the prevalence of MR in elderly patients with high risk of surgery has been increasing. Several clinical studies have confirmed that transcatheter mitral valve edge-to-edge repair (TEER) is the most important and extensive treatment for MR with high safety, efficacy and durability. Many other transcatheter mitral valve repair techniques are currently under development and are in the research stage, and it is expected that more and more transcatheter mitral valve repair techniques will come out, bringing new options for the treatment of MR. -
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