russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2020-3842russjcardiol-3842Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWТранссептальное эндоваскулярное протезирование митрального клапанаTransseptal transcatheter mitral valve replacementhttps://orcid.org/0000-0002-9704-7678ГанюковВ. И.GanyukovV. I.

д.м.н., зав. отделом хирургии сердца и сосудов

Кемерово

Kemerovo

ganyukov@mail.ruhttps://orcid.org/0000-0003-3882-709XТарасовР. С.TarasovR. S.

д.м.н., зав. лабораторией рентгенэндоваскулярной и реконструктивной хирургии сердца и сосудов

Кемерово

Kemerovo

roman.tarasov@mail.ruhttps://orcid.org/0000-0001-7660-4730ГанюковИ. В.GanyukovI. V.

врач отделения рентгенхирургических методов диагностики и лечения

Кемерово

Kemerovo

iv_ganyukov@mail.ruФГБУ Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian Federation20201704202025838423842Copyright © Ганюков В.И., Тарасов Р.С., Ганюков И.В., 20202020Ганюков В.И., Тарасов Р.С., Ганюков И.В.Ganyukov V.I., Tarasov R.S., Ganyukov I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/3842

В обзоре представлены данные о современном направлении в транскатетерном лечении структурной патологии сердца — транссептальном эндоваскулярном протезировании митрального клапана (ТЭМК), которое становится альтернативным методом лечения у больных митральным пороком сердца. Несмотря на то, что трансапикальный транскатетерный доступ технически более простой, транссептальный подход менее инвазивный, подтверждает свою эффективность и прогнозируется как наиболее перспективный. В обзоре описаны актуальность, показания, методология подбора необходимого эндопротеза, этапы вмешательства, осложнения, порядок послеоперационного наблюдения пациентов после ТЭМК. Анализируются результаты публикаций, представляющих ТЭМК. Приводится клинический пример ТЭМК.

The review presents current data transseptal transcatheter mitral valve replacement, which is becoming an alternative method of managing mitral valve disease. Despite the fact that the transapical transcatheter approach is technically simpler, the transseptal method is less invasive. It has confirmed effectiveness and is predicted to be the most promising. The review describes the relevance, indications, methodology for selecting the required endoprosthesis, stages of procedure, complications, and the postoperative follow-up of patients. The results of publications on transseptal transcatheter mitral valve replacement are analyzed. A case report is given.

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The authors declare that there are no conflicts of interest present.