门内透导管大动脉置换:从程序前规划到程序情景和可能的并发症
Francesca Maria Di Muro1, Chiara Cirillo2, Luca Esposito3,4
1Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Clinica Medica, Careggi University Hospital, 50134 Florence, Italy.
Journal of clinical medicine
|January 23, 2024
概括
门内透管大动脉替换 (ViV TAVR) 提供了一种解决方案,用于在手术大动脉替换 (SAVR) 后失败的生物假体心脏 (BHV). 本综述涵盖了ViV TAVR证据,规划,技术和改善患者结果的并发症.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 生物假体心脏门 (BHV) 越来越多地用于手术大动脉门置换 (SAVR).
- 结构损坏 (SVD) 是一个常见的并发症,需要重新干预.
- 超导管大动脉置换 (TAVR) 正在扩大到年轻患者,引发了耐用性问题.
研究的目的:
- 审查内透导管大动脉置换 (ViV TAVR) 对手术和透导管BHVs失败的作用和临床证据.
- 专注于程序前规划,程序技术和ViV TAVR的潜在并发症.
- 强调心脏团队协作和干预学习曲线对于最佳ViV TAVR结果的重要性.
主要方法:
- 对ViV TAVR.目前临床证据的文献综述.
- 对ViV TAVR.的程序前规划考虑的分析.
- 讨论与ViV TAVR相关的程序技术和潜在并发症.
主要成果:
- ViV TAVR是一种可行的技术,特别适用于失败的SAVR BHVs的高风险患者.
- 扩大TAVR的指示需要了解长期的透导心脏门 (THV) 耐用性.
- 综合心脏团队的方法和干预经验对于成功的ViV TAVR至关重要.
结论:
- ViV TAVR是管理失败的BHV的一个重要选择,为重复手术提供了替代方案.
- 仔细的患者选择,规划和程序执行是尽量减少ViV TAVR并发症的关键.
- 需要继续进行研究和经验,以优化ViV TAVR程序的长期结果.
更多相关视频
09:57Four-Dimensional Computed Tomography-Guided Valve Sizing for Transcatheter Pulmonary Valve Replacement
Published on: January 20, 2022
2.7K
07:46Author Spotlight: Revolutionizing Remote Surgery with Augmented Reality and Robotics for Enhanced Precision and Accessibility
Published on: August 9, 2024
741
相关概念视频
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
01:24Cardiac Catheterization III: Left Heart Catheterization
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
01:27Mitral Stenosis IV: Nursing Management
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
01:17Aortic Regurgitation IV: Nursing Management
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...