经导管二尖瓣置换产品设计开发及临床研究进展Design and development of transcatheter mitral valve replacement products and clinical trial progress
徐亚鹏,王海山,杨夏燕,秦涛,虞奇峰,温贤涛,杨剑
摘要(Abstract):
二尖瓣反流(M R)是最常见的心脏瓣膜疾病之一,经导管二尖瓣置换术(TMVR)逐步成为治疗MR的重要研究及发展方向。本文综述了TMVR产品研发及临床研究的最新进展,对多款国内外TMVR产品设计特点进行比较分析,概括了TMVR产品设计开发时需要考虑的重点与难点,如稳固锚定、减少瓣周漏、避免流出道梗阻和减小输送外径等;同时介绍了多款TMVR产品临床试验设计及阶段性进展,从器械手术成功率、全因死亡率、严重不良事件等方面比较各款产品的临床结果,分析TMVR产品存在的主要临床风险。最后对TMVR产品优化方向和应用前景进行了展望。
关键词(KeyWords): 经导管二尖瓣置换术;设计研发;临床研究
基金项目(Foundation): 国家重点研发计划项目(2020YFC2008100);; 浦东区科技发展基金项目(PKX2019-S14);; 陕西省创新能力支撑计划-科技创新团队项目(2020TD-034)
作者(Author): 徐亚鹏,王海山,杨夏燕,秦涛,虞奇峰,温贤涛,杨剑
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