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首页> 外文期刊>Journal of cardiac surgery. >Late surgical mitral valve repair after percutaneous repair with the MitraClip system.
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Late surgical mitral valve repair after percutaneous repair with the MitraClip system.

机译：使用MitraClip系统进行经皮修复后的二尖瓣手术后期修复。

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摘要

Percutaneous approaches for treating mitral regurgitation are under investigation, including repair with the MitraClip percutaneous mitral repair system (Evalve, Inc., Menlo Park, CA, USA), which has undergone extensive preclinical and clinical evaluation in the EVEREST I and II trials. The procedure involves the transcatheter placement of one or two MitraClip devices under echocardiographic and fluoroscopic guidance to restore leaflet coaptation. A desirable feature of any percutaneous mitral valve (MV) repair system is that the device should not impede subsequent surgical repair if needed. To date, the majority of reported MV surgeries after MitraClip device implantation have occurred earlier, within one year of treatment. We herein describe four previously unreported cases of successful surgical MV repair up to five years after MitraClip device implantation, demonstrating that late MV repair remains possible, including after implantation of two clips.
机译：目前正在研究经皮治疗二尖瓣反流的方法，包括用MitraClip经皮二尖瓣修复系统（Evalve，Inc.，Menlo Park，CA，美国）进行修复，该系统已在EVEREST I和II试验中进行了广泛的临床前和临床评估。该过程涉及在超声心动图和荧光镜引导下经导管置入一或两个MitraClip设备，以恢复小叶的接合。任何经皮二尖瓣（MV）修复系统的理想功能是，如果需要，该设备不应妨碍后续的手术修复。迄今为止，大多数报道的MitraClip装置植入后的MV手术是在治疗后一年内发生的。我们在此描述了MitraClip装置植入后长达五年的手术MV修复成功的四个以前未报告的病例，这表明后期MV修复仍然是可能的，包括在植入两个夹子之后。

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