重新TAVR:基本概念,最新数据和当前证据缺口
Attílio Galhardo1, Marisa Avvedimento1, Siddhartha Mengi1
1Quebec Heart & Lung Institute, Laval University, Quebec City, QC G1V 4G5, Canada.
Journal of clinical medicine
|July 29, 2023
概括
过导管大动脉置换 (TAVR) 是严重的大动脉狭窄的不那么侵入性选择. 随着TAVR扩展到低风险患者中,Redo-TAVR对于管理故障门变得至关重要,尽管面临诸如冠状动脉再接入等挑战.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 过导管大动脉置换 (TAVR) 对症状严重的大动脉狭窄症 (AS) 有显著的进化.
- 在TAVR技术和技术的进步提高了安全性,减少了并发症,使其在低风险人群中使用成为可能.
- 将TAVR扩展到更年轻,风险较低的患者中,需要策略来管理未来的透气管心衰竭.
研究的目的:
- 审查在终身AS管理中对结构功能障碍 (SVD) 的Redo-TAVR日益重要.
- 概述选择合适的Redo-TAVR候选人的关键考虑因素.
- 呈现最新的临床结果,并发症率,并确定证据差距.
主要方法:
- 关于Redo-TAVR的最近研究和临床数据的文献综述.
- 分析与Redo-TAVR程序相关的结果和并发症.
- 综合当前关于患者选择和程序挑战的证据.
主要成果:
- 重新TAVR是一种在初始TAVR后管理SVD的新兴策略.
- 患者的选择至关重要,其中的挑战包括冠状动脉再接入和阻塞风险.
- 介绍了临床结果和并发症率的最新数据,强调了需要进一步研究的领域.
结论:
- 在AS的终身管理中,Redo-TAVR正在变得越来越重要,特别是对于SVD.
- 仔细选择患者和意识到潜在的并发症对于成功的Redo-TAVR至关重要.
- 需要进一步的研究来解决Redo-TAVR程序当前的证据缺口.
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