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Devices and methods for percutaneous repair of the mitral valve via the coronary sinus

机译:通过冠状窦经皮修复二尖瓣的装置和方法

摘要

Devices and methods for treating mitral regurgitation by reshaping the mitral annulus in a heart. One preferred device for reshaping the mitral annulus is provided as an elongate body having dimensions as to be insertable into a coronary sinus. The elongate body includes a proximal frame having a proximal anchor and a distal frame having a distal anchor. A ratcheting strip is attached to the distal frame and an accepting member is attached to the proximal frame, wherein the accepting member is adapted for engagement with the ratcheting strip. An actuating member is provided for pulling the ratcheting strip relative to the proximal anchor after deployment in the coronary sinus. In one preferred embodiment, the ratcheting strip is pulled through the proximal anchor for pulling the proximal and distal anchors together, thereby reshaping the mitral annulus.
机译:通过重塑心脏中的二尖瓣环来治疗二尖瓣关闭不全的设备和方法。用于重塑二尖瓣环的一种优选装置被设置为细长体,该细长体具有可插入冠状窦中的尺寸。细长主体包括具有近侧锚固件的近侧框架和具有远侧锚固件的远侧框架。棘轮带附接到远侧框架,接纳构件附接到近侧框架,其中接纳构件适于与棘轮带接合。设置有致动构件,用于在布置在冠状窦中之后相对于近侧锚固件拉动棘齿条。在一优选实施例中,棘轮带被拉动通过近端锚,以将近端锚和远端锚拉在一起,从而使二尖瓣环成形。

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