跨导管大动脉治疗双侧大动脉狭窄症
Nalin H Dayawansa1,2,3, Samer Noaman1,4, Lung En Teng1
1Alfred Health, Melbourne, VIC 3004, Australia.
Journal of cardiovascular development and disease
|October 27, 2023
概括
过导管大动脉植入 (TAVI) 是一种可行的治疗方法,用于严重的大动脉狭窄 (AS) 在双大动脉 (BAV) 的患者. 本综述涵盖了BAV病理生理学,挑战和成功TAVI程序的考虑因素.
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:
- 过导管大动脉植入 (TAVI) 是老年患者严重大动脉狭窄 (AS) 的首要治疗方法.
- 两大动脉 (BAV) 患者在历史上一直被排除在TAVI试验和指导方针之外.
- 越来越多的证据表明TAVI在双主动脉主动脉狭窄症 (BAV-AS) 中的可行性.
研究的目的:
- 审查BAV.的病理生理学和分类.
- 总结与TAVI在BAV-AS患者中相关的安全数据和解剖挑战.
- 在BAV-AS.中概述成功的TAVI程序考虑因素.
主要方法:
- 关于TAVI在BAV-AS中的已发表研究的文献综述.
- 对案例系列和观察数据的分析.
- 综合有关BAV病理生理学,解剖学和程序结果的信息.
主要成果:
- BAV-AS具有独特的解剖特征,影响了TAVI的成功.
- 在BAV-AS中成功的TAVI是可以通过仔细的程序前规划实现的.
- 对于患者选择和程序执行,需要特别考虑.
结论:
- 对于一些患有BAV-AS.的患者来说,TAVI是一种可行的选择.
- 了解BAV特定的挑战对于优化TAVI结果至关重要.
- 进一步的研究可能会完善TAVI对BAV群体的策略.
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