Palabras clave
Regurgitación mitral
Ancianos
Reparación transcatéter de la válvula mitral
MitraClip
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Resumen
Objetivo: Evaluar la efectividad de la reparación transcatéter con el dispositivo MitraClip en el tratamiento de la insuficiencia mitral en pacientes ancianos. Métodos: Se trata de una revisión integrativa de la literatura realizada mediante búsquedas en las bases de datos PubMed y Cochrane Library. Tras aplicar los criterios de elegibilidad, se seleccionaron 34 artículos. Resultados: El uso del MitraClip está asociado con un aumento en la esperanza y calidad de vida de los pacientes con regurgitación mitral. Cabe destacar que esta tecnología es una opción financieramente viable en comparación con el costo de la terapia médica y se considera la mejor alternativa para pacientes en los que la reparación quirúrgica abierta de la válvula mitral no es factible. El MitraClip demostró una disminución de la regurgitación mitral residual, pocas complicaciones y baja mortalidad relacionada con el procedimiento. Consideraciones finales: Se considera que el MitraClip es una estrategia terapéutica eficaz para pacientes ancianos, considerando que la mayoría de estos presentan un alto riesgo para la cirugía abierta de la válvula mitral. Sin embargo, su uso debe ser prescrito únicamente para pacientes no elegibles para cirugía abierta. Así, el uso del MitraClip debe basarse en criterios clínicos estrictos.
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