Latest advances in transseptal structural heart interventions - Percutaneous mitral valve repair and left atrial appendage occlusion

MatsumotoT.; KarS.

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Latest advances in transseptal structural heart interventions - Percutaneous mitral valve repair and left atrial appendage occlusion

机译：跨型结构心脏干预的最新进展 - 经皮二尖瓣修复和左心房阑尾闭塞

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Recent advances in structural heart intervention have produced increasing demand for transseptal access, which was first introduced as a diagnostic tool to directly measure left atrial pressure. Transseptal access allows safe and adequate approach to the left atrium and surrounding structures. Percutaneous transcatheter mitral valve repair using the MitraClip device is a safe and less invasive treatment for selected patients with significant mitral regurgitation, who are at high risk for surgery. This is an echocardiographic- and fluoroscopic-guided procedure requiring accurate transseptal access of the left atrium and clipping of the mitral leaflets at the precise location of their malcoaptation. Percutaneous transcatheter closure of the left atrial appendage is another novel procedure that requires transseptal access of the left atrium, followed by closure or ligation of the left atrial appendage. This catheter-based therapy has been shown to be a safe and effective alternative to long-term anticoagulant therapy for the prevention of stroke in patients with atrial fibrillation. In this article, we systematically review these novel structural heart interventions.

机译：结构性心脏干预的最新进展已经产生了对跨间接进入的需求，这首先被引入直接测量左心房压力的诊断工具。跨步通道允许左心房和周围结构的安全和充足的方法。使用Mitraclip装置的经皮转丝瓣二尖瓣修复是一种安全且侵入性较少的侵入性治疗，适用于有二尖瓣重新改性的患者，其患者具有高风险的手术。这是超声心动图和透视引导程序，需要准确地静息进入左心房和二尖瓣的精确位置的左侧胞内的剪辑。经皮的经截面闭闭左心房附属物是另一种需要左心房的旋转进入的另一个新程序，然后闭合或结扎左心房附属物。该基于导管的疗法已被证明是一种安全有效的替代性，用于预防心房颤动患者中风的长期抗凝血治疗。在本文中，我们系统地审查了这些新颖的结构性心脏干预措施。

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来源
《Circulation journal》 |2014年第8期|共9页
作者
MatsumotoT.; KarS.;
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作者单位

Heart Institute Cedars-Sinai Medical Center Los Angeles CA United States;

Heart Institute Cedars-Sinai Medical Center Los Angeles CA United States;

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原文格式 PDF
正文语种 eng
中图分类心脏、血管（循环系）疾病;
关键词
Percutaneous left atrial appendage occlusion; Percutaneous mitral valve repair; Transseptal access;

机译：经皮左心房阑尾闭塞;经皮二尖瓣修复;转诊部;

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专利

1. Latest Advances in Transseptal Structural Heart Interventions – Percutaneous Mitral Valve Repair and Left Atrial Appendage Occlusion – [J] . Takashi Matsumoto, Saibal Kar Circulation journal . 2014,第8期

机译：跨隔结构性心脏干预的最新进展–经皮二尖瓣修复和左心耳附件阻塞–
2. Latest Advances in Transseptal Structural Heart Interventions – Percutaneous Mitral Valve Repair and Left Atrial Appendage Occlusion – [J] . Takashi Matsumoto, Saibal Kar Circulation journal . 2014,第8期

机译：跨隔结构性心脏干预的最新进展–经皮二尖瓣修复和左心耳附件阻塞–
3. Latest advances in transseptal structural heart interventions - Percutaneous mitral valve repair and left atrial appendage occlusion [J] . MatsumotoT., KarS. Circulation journal . 2014,第8期

机译：跨型结构心脏干预的最新进展 - 经皮二尖瓣修复和左心房阑尾闭塞
4. Left Atrial Decompression as a Percutaneous Rescue Therapy for Advanced Mitral Valve Disease [C] . American College of Veterinary Internal Medicine Forum Conference . 2019

机译：左心房减压作为晚期二尖瓣病的经皮救援治疗
5. Optimal Post-Procedural Therapy for Patients Ineligble for Treatment with Oral Anticoagulatiion Who Undergo Left Atrial Appendage Occlusion with the Watchman Device for Non-Valvular Atrial Fibrillation [D] . Whitehead, Kristen Marie. 2020

机译：用口腔抗凝血治疗患者患者的最佳过程治疗患者患有左心房阑尾闭塞与鹰刀用于非瓣膜心房颤动
6. Unconventional combination of left atrial appendage device occlusion in patients with atrial fibrillation who needed concomitant catheter interventions for underlying structural heart disease [O] . Palaparti Raghuram, Sreeja Pavithran, Kothandam Sivakumar 2020

机译：心房颤动患者左心房附属装置闭塞的非常规组合伴随着伴随的结构心脏病的伴随导管干预患者
7. HIT Poster session 2P479Strain concordance in a real-world setting: experience in our laboratory after equipment upgradeP4803D echocardiography is a fast-learning and reliable method for the measurements of left atrial volumesP481Echocardiographic parameters associated with long-term appropriate antiarrhythmic therapies in cardiac resynchronization therapy defibrillator patientsP482Noninvasively measured global wasted myocardial work allows for quantitative assessment of typical left ventricular mechanical dyssynchrony pattern in patients with left bundle branch blockP483The impact of adherence to physical exercise on the improvement of cardiovascular remodeling and metabolic status in healthy untrained postmenopausal womenP484The impact of the latest chamber quantification recommendations on the prediction of left atrial appendage thrombus presenceP485The cardiac-enriched miRNAs plasma levels (miR-1, miR-133a, miR-499) reflect the impaired left ventricular systolic function and correlate with cardiac necrosis markers in early phase of NSTE-ACSP486Acute regional myocardial deformation changes in patients with severe aortic stenosis and preserved ejection fraction after isolated aortic valve replacementP487Left ventricular rotational deformation in asymptomatic patients with chronic aortic regurgitation and normal left ventricular ejection fraction P488The appropriate use of transthoracic echocardiography for the exclusion of infective endocarditisP489In patients with hypertrophic cardiomyopathy, left ventricular mass and shape by three-dimensional echocardiography are related with dynamic obstruction and functional capacityP490Mitral leaflet sizing in hypertrophic cardiomyopathy: impact of method and timingP491Echocardiographic predictors of atrial fibrillation in obese womenP492Echocardiographic risk factors for 30 day mortality after the hybrid procedure for hypoplastic left heart syndromeP493Left ventricular mass is an independent predictor of coronary flow reserve: insights from a single centre stress echo cohortP494Transesophageal echocardigoraphy uner conscious sedation for guiding cryoballoon pulmonary vein isolation in paroxysmal atrial fibrillation - the safety and feasibility studyP495Transesophageal echocardigoraphy under conscious sedation for guiding cryoballoon pulmonary vein isolation in paroxysmal atrial fibrillation - the safety and feasibility studyP496Three-dimensional trans-esophageal echocardiography assessment of the immediate morphological changes of the mitral annulus after percutaneous mitral edge-to-edge repairP497Clinical value of global and regional longitudinal strain in prediction of myocardial ischemia in asymptomatic diabetes type 2 patientsP499Comparison of prognostic operative risk impact on the global longitudinal strain right ventricle (GLS RV) and tricuspid annular plane systolic excursion (TAPSE) values in patients with ischemic cardioP498Right heart function in early diastolic dysfunction: 2D speckle-tracking echocardiography-based assessment of right atrial and right ventricular functionP500 Comparison of 2D, 3D transesophageal echocardiography and computed tomography during the assessment of left atrial appendage closure [O] . JF. Cueva Recalde, A. Velcea, S. Aguiar Rosa, 2016

机译：HIT墙报2P479Strain一致性在真实世界场景：在设备upgradeP4803D超声心动图检查后，我们实验室的经验是为测量快速学习和可靠的方法左心房在心脏再同步治疗除颤器patientsP482Noninvasively长期适当的抗心律失常治疗相关volumesP481Echocardiographic参数测量了全球浪费心肌工作允许患者依从性左束支传导blockP483The影响到体育锻炼上的最新室定量建议健康未受训练的绝经后womenP484The影响心血管重构和代谢状态的改善典型左室机械不同步模式的定量评估上的预测左心耳血栓presenceP485The心脏富集miRNA的血浆水平（的miR-1，的miR-133a的，的miR-499）反映受损左心室收缩功能及CORREL吃用的患者的严重主动脉瓣狭窄NSTE-ACSP486Acute区域心肌变形的变化早期心肌坏死标志物和后射血分数分离主动脉瓣膜replacementP487Left心室旋转在无症状患者慢性主动脉瓣反流和正常左心室射血分数P488The适当使用不变形对于感染endocarditisP489In肥厚型心肌病患排除经胸超声心动图，由三维超声心动图左心室质量和形状与动态障碍物和功能capacityP490Mitral相关小叶上浆肥厚型心肌病：的心房纤维性颤动中肥胖womenP492Echocardiographic方法和timingP491Echocardiographic预测结果的影响对于syndromeP493Left左室质量发育不全左心脏杂交程序后的30天死亡率的危险因素是冠状动脉血流RESER的独立预测因子已经：见解从一个单一的中心的应力回波cohortP494Transesophageal echocardigoraphy纳清醒镇静用于引导低温球囊肺静脉阵发性心房颤动隔离 - 下清醒镇静的安全性和可行性studyP495Transesophageal echocardigoraphy为阵发性心房颤动引导低温球囊肺静脉隔离 - 安全性和可行性studyP496Three的经皮二尖瓣边缘到边缘repairP497Clinical全球及区域纵向应变的心肌缺血的预测无症状糖尿病类型值2 patientsP499Comparison对预后手术风险冲击二尖瓣环的直接形态学变化维经食道超声心动图评估全球纵向应变右心室（RV GLS）和三尖瓣环平面收缩漂移（TAPSE）患者的早期舒张功能障碍性脑缺血cardioP498Right心脏功能值：2D斑点的trackin右心室2D的functionP500比较右心房的和g超声心动图基于评估，3D食管超声心动图和计算机断层左心耳闭合的评估过程中

Latest advances in transseptal structural heart interventions - Percutaneous mitral valve repair and left atrial appendage occlusion

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