AmericanHeartAssociation/AmericanCollegeofCardiology(AHA/ACC)GuidelinesfortheManagementofPatientswithValvularHeartDisease:Transcathetermitralvalverepair(TMVr)optionsforprimarymitralvalveregurgitationPart2
美国心脏协会/美国心脏病学会瓣膜性心脏病患者管理指南:经导管二尖瓣修补术治疗原发性二尖瓣反流,第2部分。
TheonlytypeofdevicecurrentlyFDA-approvedintheUSfortranscathetermitralvalverepair(TMVr)istheuseofaclipthatapproximatesopposingsegmentsoftheanteriorandposteriorleafletsthatmimicstheedge-to-edgesurgicaltechniquenamedtheAlfieristitch.AlthoughTMVrhasbeensafelyusedinpatientsaroundtheworldandisassociatedwithlessbleedingandfasterrecoverytimesthantraditionalsurgery,itisstillonlyre