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題名:重度二尖瓣逆流治療的新技術--經導管二尖瓣修補術及護理
書刊名:護理雜誌
作者:黃秀芬余慧筠李慶威張惠娟林美玲翁新惠
作者(外文):Huang, Hsiu-fenYu, Hui-yunLee, Ching-weiChang, Hui-chuangLin, Mei-lingWung, Shin-huey
出版日期:2017
卷期:64:4
頁次:頁89-96
主題關鍵詞:二尖瓣逆流二尖瓣夾經導管二尖瓣修補術Mitral regurgitationMitraClipTranscatheter edge-to-edge mitral valve repair
原始連結:連回原系統網址new window
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  • 點閱點閱:2
重度二尖瓣逆流的治療,以往是以傳統開心手術及保守藥物治療為主,而經導管二尖瓣膜修補術則是一項新發展的技術,主要是利用心導管的方式,遞送二尖瓣膜夾來夾合閉鎖不全的二尖瓣,以改善二尖瓣逆流造成的心臟衰竭症狀與預後。國外已有許多研究證明,此介入性治療方式與傳統二尖瓣開心手術比較,對於二尖瓣膜逆流的病患有較低的手術相關併發症發生比率,亦可有效改善血液逆流的程度,進而改善心臟衰竭的嚴重度,是二尖瓣逆流達中重度以上手術高風險患者的一項新的選擇,國內於2016年引入此項新治療的方式,本文主要為簡介此項新治療方式及彙整護理照顧重點,以提供臨床照顧參考。
Open-heart surgery and conservative medical treatments have been the traditional, mainstay treatments for patients with severe mitral regurgitation (MR). Transcatheter edge-to-edge mitral repair is a novel technique. Using the transcatheter approach allows delivery of the clip into the left ventricle and the clipping of the orifice of the MR. The heart failure symptoms and outcomes of patients improve after this procedure. Compared to open-heart surgery, the mitral clip achieves similar MR reduction results with a significantly lower rate of complications. Since 2016, MitraClip has been available for clinical use in Taiwan. The aim of this report is to introduce this new treatment with a focus on nursing care in order to provide a reference for clinical care.
期刊論文
1.李明珠、李幸蓉、張潔如、王佩宜、翁新惠、李淑瓊、王敏華(20150600)。提升執行介入性心導管治療病人術後照護之完整性。榮總護理,32(2),193-201。new window  延伸查詢new window
2.Bonow, R. O.、Carabello, B. A.、Chatterjee, K.、de Leon, A. C. Jr.、Faxon, D. P.、Freed, M. D.、Shah, P. M.(2008)。2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 Guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons。Journal of the American College of Cardiology,52(13),1-142。  new window
3.Condado, J. A.、Acquatella, H.、Rodriguez, L.、Whitlow, P.、Vélez-Gimo, M.、St. Goar, F. G.(2006)。Percutaneous edge-to-edge mitral valve repair: 2-year follow-up in the first human case。Catheterization and Cardiovascular Interventions,67(2),323-325。  new window
4.Eggebrecht, H.、Schelle, S.、Puls, M.、Plicht, B.、von Bardeleben, R. S.、Butter, C.、Schmermund, A.(2015)。Risk and outcomes of complications during and after MitraClip implantation: Experience in 828 patients from the German TRAnscatheter mitral valve interventions (TRAMI) registry。Catheterization and Cardiovascular Interventions,86(4),728-735。  new window
5.Estévez-Loureiro, R.、Settergren, M.、Winter, R.、Jacobsen, P.、Dall'Ara, G.、Sondergaard, L.、Franzen, O.(2015)。Effect of gender on results of percutaneous edge-to-edge mitral valve repair with mitraclip system。The American Journal of Cardiology,116(2),275-279。  new window
6.Feldman, T.、Kar, S.、Elmariah, S.、Smart, S. C.、Trento, A.、Siegel, R. J.、Mauri, L.(2015)。Randomized Comparison of Percutaneous Repair and Surgery for Mitral Regurgitation: 5-Year Results of EVEREST II。Journal of the American College of Cardiology,66(25),2844-2854。  new window
7.Grayburn, P. A.、Foster, E.、Sangli, C.、Weissman, N. J.、Massaro, J.、Glower, D. G.、Mauri, L.(2013)。Relationship between the magnitude of reduction in mitral regurgitation severity and left ventricular and left atrial reverse remodeling after MitraClip therapy。Circulation,128(15),1667-1674。  new window
8.Madden, S.(2011)。An alternative treatment approach to mitral regurgitation。Nursing Standard,26(13),40-46。  new window
9.Maisano, F.、Franzen, O.、Baldus, S.、Schäfer, U.、Hausleiter, J.、Butter, C.、Schillinger, W.(2013)。Percutaneous mitral valve interventions in the real world: Early and 1-year results from the ACCESS-EU, a prospective, multicenter, nonrandomized post-approval study of the MitraClip therapy in Europe。Journal of the American College of Cardiology,62(12),1052-1061。  new window
10.Maisano, F.、Torracca, L.、Oppizzi, M.、Stefano, P. L.、D'Addario, G.、La Canna, G.、Alfieri, O.(1998)。The edge-to-edge technique: A simplified method to correct mitral insufficiency。European Journal of Cardio- Thoracic Surgery,13(3),240-246。  new window
11.Mozaffarian, D.、Benjamin, E. J.、Go, A. S.、Arnett, D. K.、Blaha, M. J.、Cushman, M.、Das, S. R.、de Ferranti, S.、Després, J.-P.、Fullerton, H. J.、Howard, V. J.、Huffman, M. D.、Isasi, C. R.、Jiménez, M. C.、Judd, S. E.、Kissela, B. M.、Lichtman, J. H.、Lisabeth, L. D.、Liu, S.、Turner, M. B.(2016)。Executive summary: Heart disease and stroke statistics--2016 update: A report from the American Heart Association。Circulation,133(4),447-454。  new window
12.Munkholm-Larsen, S.、Wan, B.、Tian, D. H.、Kearney, K.、Rahnavardi, M.、Dixen, U.、Yan, T. D.(2014)。A systematic review on the safety and efficacy of percutaneous edge-to-edge mitral valve repair with the MitraClip system for high surgical risk candidates。Heart,100(6),473-478。  new window
13.Nashef, S. A. M.、Roques, F.、Michel, P.、Gauducheau, E.、Lemeshow, S.、Salamon, R.、EuroSCORE study group(1999)。European system for cardiac operative risk evaluation (EuroSCORE)。European Journal of Cardio-Thoracic Surgery,16(1),9-13。  new window
14.Nishimura, R. A.、Otto, C. M.、Bonow, R. O.、Carabello, B. A.、Erwin, J. P.、Guyton, R. A.、Thomas, J. D.(2014)。2014 AHA/ACC guideline for the management of patients with valvular heart disease。Journal of Thoracic and Cardiovascular Surgery,148(1),e1-e132。  new window
15.Philip, F.、Athappan, G.、Tuzcu, E. M.、Svensson, L. G.、Kapadia, S. R.(2014)。MitraClip for severe symptomatic mitral regurgitation in patients at high surgical risk: A comprehensive systematic review。Catheterization and Cardiovascular Interventions,84(4),581-590。  new window
16.Scandura, S.、Capranzano, P.、Caggegi, A.、Grasso, C.、Ronsivalle, G.、Mangiafico, S.、Tamburino, C.(2016)。Percutaneous mitral valve repair with the MitraClip system in the elderly: One-year outcomes from the GRASP registry。International Journal of Cardiology,224,440-446。  new window
17.Wan, B.、Rahnavardi, M.、Tian, D. H.、Phan, K.、Munkholm- Larsen, S.、Bannon, P. G.、Yan, T. D.(2013)。A metaanalysis of MitraClip system versus surgery for treatment of severe mitral regurgitation。Annals of Cardiothoracic Surgery,2(6),683-692。  new window
18.Wiebe, J.、Franke, J.、Lubos, E.、Boekstegers, P.、Schillinger, W.、Ouarrak, T.、Sievert, H.(2014)。Percutaneous mitral valve repair with the mitraclip system according to the predicted risk by the logistic EuroSCORE: Preliminary results from the German Transcatheter Mitral Valve Interventions (TRAMI) registry。Catheterization and Cardiovascular Interventions,84(4),591-598。  new window
其他
1.Claudia, J.(20091227)。Bulldog clip that can fix a leaky heart: New procedure that saved cardiac patient,http://www.dailymail.co.uk/health/ article-1238561/Bulldog-clip-fix-leaky-heart-newprocedure-saved-cardiac-patient-surgery.html。  new window
2.University of Ottawa Heart Institute(2015)。MitraClip: A guide for patients and families,https://www.ottawaheart.ca/sites/default/files/uploads/documents/Patients-Visitors/mitraclip-guide-v2.pdf。  new window
3.(2013)。MitraClip delivery system - P100009,https://www.accessdata .fda.gov/cdrh_docs/pdf10/p100009b.pdf。  new window
圖書論文
1.蔡仁貞、梁穎、洪美英、高秋惠、楊易宏、張效煌(2016)。心臟疾病之護理。成人內外科護理。台北市:華杏。  延伸查詢new window
2.方妙君、杜玲(2015)。心臟血管系統疾病病人之護理。內外科護理學。台北市:華杏。  延伸查詢new window
 
 
 
 
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