单纯超声引导远程机器人经导管二尖瓣缘对缘修复术治疗二尖瓣反流一例  

A Case Report of Remote Robotic Transcatheter Edge-to-Edge Repair Under Pure Transesophageal Echocardiographic Guidance

作　　者：王首正 朱达 李世国 卢耀星 欧阳文斌 潘湘斌 WANG Shouzheng;ZHU Da;LI Shiguo;LU Yaoxing;OUYANG Wenbin;PAN Xiangbin(Structural Heart Disease Center,National Center for Cardiovascular Diseases and Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China;Structural Heart Disease Center,Yunnan Fuwai Cardiovascular Hospital,Kunming Medical University Affiliated Cardiovascular Hospital,Kunming 650102,China;Structural Heart Disease Center,Fuwai Shenzhen Hospital,Chinese Academy of Medical Sciences,Shenzhen 518057,China)

机构地区：[1]中国医学科学院、北京协和医学院、国家心血管病中心、阜外医院结构性心脏病中心,北京100037 [2]云南省阜外心血管病医院昆明医科大学附属心血管医院结构性心脏病中心,昆明650102 [3]中国医学科学院阜外医院深圳医院结构性心脏病中心,深圳518057

出　　处：《中国循环杂志》2024年第8期816-818,共3页Chinese Circulation Journal

基　　金：国家重大科研仪器研制项目(82327801);国家重点研发计划资助(2022YFC2503400);中国医学科学院医学与健康科技创新工程(2021-I2M-1-065);深圳三名工程“中国医学科学院阜外医院潘湘斌教授结构性心脏病团队”(SZSM202011013)。

摘　　要：本文报告在单纯经食道超声心动图引导下,远程使用手术机器人成功完成了经导管二尖瓣缘对缘修复(TEER)术治疗二尖瓣反流。患者为70岁男性,患有缺血性心肌病所致重度二尖瓣反流,经冠状动脉介入治疗和指南指导药物治疗后症状无明显改善,经多学科讨论后进行TEER术。TEER术采用超声引导下的机器人辅助技术,结合5G通讯技术,在北京远程操作深圳的手术机器人完成TEER术。术后患者二尖瓣反流减轻至微量,症状明显好转,无严重并发症,术后5 d出院。单纯超声引导介入技术和远程机器人手术的结合,对提高基层心血管疾病治疗能力具有重要意义。We report the successful treatment of mitral regurgitation by remote robotic transcatheter edge-to-edge repair(TEER)under pure transesophageal echocardiographic guidance in a 70-year-old male patient with severe mitral regurgitation due to ischemic cardiomyopathy.The patient showed no significant improvement after coronary interventional treatment and guideline-directed medical therapy before TEER.Following a multidisciplinary discussion,a TEER procedure was indicated and performed.The procedure utilized robotic assistance guided by echocardiography,combined with 5G communication technology,to remotely operate the surgical robot in Shenzhen from Beijing.Postoperatively,the patient's mitral regurgitation was reduced to trace,symptoms were markedly improved,there were no severe complications,and the patient was discharged five days after the operation.The integration of pure echo-guided interventional technology with remote robotic operation holds significant importance for enhancing the capabilities in treating cardiovascular diseases at the primary hospitals.

关 键 词：二尖瓣反流 经导管缘对缘修复 机器人辅助 5G通讯技术 超声引导 远程手术 

分 类 号：R54[医药卫生—心血管疾病]