作为SAVR的替代品,TAVR用于纯原生大动脉吐
Stéphane Noble1, Sarah Mauler-Wittwer2
1Structural Heart Unit, University Hospital of Geneva, Geneva, Switzerland.
The Canadian journal of cardiology
|November 28, 2023
概括
透导管大动脉置换 (TAVR) 是严重大动脉吐患者的替代方案,这些患者有很高的外科风险. 新的TAVR设备在这个具有挑战性的患者群体中显示出有希望的安全性和有效性.
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:
- 超导管大动脉置换 (TAVR) 最初针对有大动脉狭窄症的老年患者.
- 它的应用已经扩展到其他患者群体,包括那些有大动脉反的人.
- 严重的大动脉反,通常是退行性,会影响患有并发病的老年患者,并可能导致左心室功能障碍.
研究的目的:
- 审查TAVR在管理纯原生大动脉吐中的作用.
- 讨论TAVR对大动脉反的技术挑战和不断变化的结果.
主要方法:
- 对TAVR用于本源大动脉吐的当前文献的综述.
- 在此背景下,分析技术考虑和对TAVR的患者选择.
主要成果:
- 手术更换大动脉是严重的大动脉吐的标准.
- 对于那些手术风险过高的患者来说,TAVR提供了一个替代方案.
- 技术挑战包括缺少环状化,门尺寸和血液动力学不稳定性.
- 第一代TAVR设备具有更高的风险;较新的设备显示出更好的安全性和结果.
结论:
- 对于某些患有严重本源性大动脉吐和高手术风险的患者来说,TAVR是一种可行的选择.
- 持续的研究和设备开发对于优化大动脉吐中TAVR结果至关重要.
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