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JACC：一种新型经心房经皮二尖瓣置换术的技术方法

2018-09-24 MedSci MedSci原创

心血管二尖瓣置换术心房
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二尖瓣环钙化患者的二尖瓣置换术对于外科来讲是一个不小的挑战，经皮二尖瓣置换术（TMVR）对于外科风险较高的患者来说是一个不错的选择，但是植入入径的选择仍存在争议。本研究的目的旨在详细描述一种经心房的植入球囊扩张型主动脉瓣膜的TMVR技术方法。本研究对8例患者进行了经心房的植入球囊扩张型主动脉瓣膜的TMVR技术方法的详细介绍，并记录了患者术前及术后30天的临床和心超资料。在这8个接受经心房TMVR患

二尖瓣环钙化患者的二尖瓣置换术对于外科来讲是一个不小的挑战，经皮二尖瓣置换术（TMVR）对于外科风险较高的患者来说是一个不错的选择，但是植入入径的选择仍存在争议。本研究的目的旨在详细描述一种经心房的植入球囊扩张型主动脉瓣膜的TMVR技术方法。

本研究对8例患者进行了经心房的植入球囊扩张型主动脉瓣膜的TMVR技术方法的详细介绍，并记录了患者术前及术后30天的临床和心超资料。在这8个接受经心房TMVR患者中，有5例患者之前接受过心脏手术，平均的STS分数为8%，TMVR的技术成功率为100%，患者的院内和术后30天死亡率为0，瓣膜旁的反流仅在1例患者中出现。

研究结果显示，该新型经心房的经皮二尖瓣置换术技术可行且可重复，患者的早期预后良好。

原始出处：

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    2019-03-09 yxch48

    #置换#

    0

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    2019-07-18 lqrandywkz

    #二尖瓣置换术#

    0

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    2019-01-06 lsj628

    #经皮二尖瓣置换术#

    0

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    2019-05-14 hbwxf

    #JACC#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1742521, encodeId=c2f31e4252175, content=<a href='/topic/show?id=39cae96626f' target=_blank style='color:#2F92EE;'>#置换#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79662, encryptionId=39cae96626f, topicName=置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3a7c35056336, createdName=yxch48, createdTime=Sat Mar 09 11:22:00 CST 2019, time=2019-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1982467, encodeId=4b2f198246e95, content=<a href='/topic/show?id=4446239166f' target=_blank style='color:#2F92EE;'>#二尖瓣置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23916, encryptionId=4446239166f, topicName=二尖瓣置换术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=86b7385, createdName=lqrandywkz, createdTime=Thu Jul 18 07:22:00 CST 2019, time=2019-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1805575, encodeId=3ea618055e5b4, content=<a href='/topic/show?id=332be837498' target=_blank style='color:#2F92EE;'>#经皮二尖瓣置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78374, encryptionId=332be837498, topicName=经皮二尖瓣置换术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b73f484, createdName=lsj628, createdTime=Sun Jan 06 04:22:00 CST 2019, time=2019-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1854167, encodeId=8540185416e7f, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue May 14 15:22:00 CST 2019, time=2019-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325974, encodeId=6a0d13259e403, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1463209, encodeId=411e14632091c, content=<a href='/topic/show?id=cff92389310' target=_blank style='color:#2F92EE;'>#二尖瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23893, encryptionId=cff92389310, topicName=二尖瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdb26536308, createdName=wwzzly, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1576641, encodeId=181d15e664112, content=<a href='/topic/show?id=48fee966468' target=_blank style='color:#2F92EE;'>#置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79664, encryptionId=48fee966468, topicName=置换术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=054816326830, createdName=ms117281293605716, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626888, encodeId=53ee162688805, content=<a href='/topic/show?id=986a5101e46' target=_blank style='color:#2F92EE;'>#心房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51017, encryptionId=986a5101e46, topicName=心房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20ba21064884, createdName=sodoo, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=)]
    2018-09-26 12498568m50暂无昵称

    #ACC#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1742521, encodeId=c2f31e4252175, content=<a href='/topic/show?id=39cae96626f' target=_blank style='color:#2F92EE;'>#置换#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79662, encryptionId=39cae96626f, topicName=置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3a7c35056336, createdName=yxch48, createdTime=Sat Mar 09 11:22:00 CST 2019, time=2019-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1982467, encodeId=4b2f198246e95, content=<a href='/topic/show?id=4446239166f' target=_blank style='color:#2F92EE;'>#二尖瓣置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23916, encryptionId=4446239166f, topicName=二尖瓣置换术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=86b7385, createdName=lqrandywkz, createdTime=Thu Jul 18 07:22:00 CST 2019, time=2019-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1805575, encodeId=3ea618055e5b4, content=<a href='/topic/show?id=332be837498' target=_blank style='color:#2F92EE;'>#经皮二尖瓣置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78374, encryptionId=332be837498, topicName=经皮二尖瓣置换术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b73f484, createdName=lsj628, createdTime=Sun Jan 06 04:22:00 CST 2019, time=2019-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1854167, encodeId=8540185416e7f, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue May 14 15:22:00 CST 2019, time=2019-05-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325974, encodeId=6a0d13259e403, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1463209, encodeId=411e14632091c, content=<a href='/topic/show?id=cff92389310' target=_blank style='color:#2F92EE;'>#二尖瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23893, encryptionId=cff92389310, topicName=二尖瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fdb26536308, createdName=wwzzly, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1576641, encodeId=181d15e664112, content=<a href='/topic/show?id=48fee966468' target=_blank style='color:#2F92EE;'>#置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79664, encryptionId=48fee966468, topicName=置换术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=054816326830, createdName=ms117281293605716, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626888, encodeId=53ee162688805, content=<a href='/topic/show?id=986a5101e46' target=_blank style='color:#2F92EE;'>#心房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51017, encryptionId=986a5101e46, topicName=心房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20ba21064884, createdName=sodoo, createdTime=Wed Sep 26 01:22:00 CST 2018, time=2018-09-26, status=1, ipAttribution=)]
    2018-09-26 wwzzly

    #二尖瓣#

    0

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    2018-09-26 ms117281293605716

    #置换术#

    0

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    2018-09-26 sodoo

    #心房#

    0

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