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Left femoral vein access for transcatheter mitral valve interventions in unfavorable interatrial septal anatomy
Catheterization & Cardiovascular Interventions ( IF 2.3 ) Pub Date : 2021-09-17 , DOI: 10.1002/ccd.29950
Francesco Maisano 1 , Giulio Russo 2, 3 , Ana Paula Tagliari 3, 4 , Mara Gavazzoni 3 , Maurizio Taramasso 5
Affiliation  

Optimal transseptal puncture (TSP) position on the interatrial septum as well as proper catheter direction and maneuverability in the left atrium (LA) are key elements for successful mitral valve (MV) interventions. TSP is usually performed from the right femoral vein being more comfortable for the operator and easier to reach the fossa ovalis. In the cases reported, TSP was performed from left femoral vein (LFV) to improve delivery system maneuverability and trajectory inside the LA in the context of MV repair with MitraClip. According to this early experience, LFV approach might be considered as first choice or as an alternative solution in patients in whom a higher position of the delivery system relative to the mitral annulus is needed.

中文翻译:

在不利的房间隔解剖中经导管二尖瓣介入术的左股静脉通路

房间隔上的最佳经中隔穿刺 (TSP) 位置以及左心房 (LA) 中正确的导管方向和可操作性是成功进行二尖瓣 (MV) 干预的关键要素。TSP 通常从右侧股静脉进行,这样操作者更舒适且更容易到达卵圆窝。在报告的病例中,在使用 MitraClip 修复 MV 的情况下,从左股静脉 (LFV) 执行 TSP 以改善 LA 内输送系统的可操作性和轨迹。根据这一早期经验,LFV 方法可能被视为首选或替代解决方案,用于需要输送系统相对于二尖瓣环的更高位置的患者。
更新日期:2021-11-17
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