Percutaneous mitral valve leaflet repair for mitral regurgitation: NICE guidance.
نویسندگان
چکیده
This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
منابع مشابه
بررسی عوامل موثر در افزایش سطح دریچه و پیدایش نارسایی میترال بعد از بالون میترال والولوپلاستی در 110 بیمار در مجتمع بیمارستانی امام خمینی
Background: Percutaneous Transeptal Mitral Commisurotomy (PTMC) has been used in treating mitral stenosis with variable success, its main complication being mitral incompetence. There is a need to define the subgroup of the patients who benefit mostly from the procedure. Methods: We studied 110 patients (age 17 to 60 years mean 33.2) with mitral stenosis. PTMC was performed though femoral vein....
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Percutaneous alternatives to conventional surgery for mitral regurgitation have emerged over the last decade with devices modeled after existing surgical techniques. The most developed of these catheter approaches include leaflet repair and annuloplasty. A device that plicates the free edges of the mitral valve to create a double orifice repair is the only leaflet-repair method in development. ...
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Percutaneous edge-to-edge mitral valve repair (PMVR) is widely used for selected, high-risk patients with severe mitral valve regurgitation (MR). This report describes a case of 81-year-old woman presenting with severe and highly symptomatic mitral valve regurgitation (MR) caused by a flail of the posterior mitral valve leaflet (PML). PMVR turned out to be challenging in this patient because of...
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BaIlon mitral valvuloplasty and closed mitral valve conunissurotomy were performed in 450 and 127 patients, respectively. Also, 254 patients with severe mitral stenosis were enrolled in a prospective randomized trial comparing the two procedures. Immediately after balloon mitral valvuloplasty, mean left atrial pressure was 11.38±3.54 mmHg, transmitral valve gradient was 1.8±2 mmHg, and mit...
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Despite recent advances, the selection of appropriate treatment options in patients with mitral regurgitation, especially those with heart failure, represents an important clinical problem. Although mitral regurgitation is an independent predictor of worse prognosis in patients with heart failure, patients are commonly denied cardiac surgery repair procedures, owing to perceived high procedural...
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ورودعنوان ژورنال:
- Heart
دوره 96 5 شماره
صفحات -
تاریخ انتشار 2010