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图像检查,治疗选择,患者选择和双动脉疾病患者的结果考虑

Yousif Ahmad¹, Vratika Agarwal¹, Matthew L Williams²

¹Division of Cardiology, Yale School of Medicine, Yale University, New Haven, Connecticut.

Journal of the Society for Cardiovascular Angiography & Interventions

|August 12, 2024

概括

过导管大动脉替换是严重的大动脉狭窄症的安全选择. 本综述侧重于双主动脉疾病,这是最初试验中排除的常见疾病,为心脏团队提供指导.

科学领域:

心脏病学心脏病学
心血管外科心血管外科
干预心脏病学干预心脏病学

背景情况:

通过导管的大动脉置换 (TAVR) 是为严重的症状大动脉狭窄而建立的.
双主动脉 (BAV) 疾病患者被排除在关键TAVR试验之外.
关于TAVR适用于BAV疾病的知识差距存在.

研究的目的:

提供对BAV病患者TAVR的综合性审查.
为指导心脏小组管理接受主动脉干预的BAV患者.
为了巩固目前关于双主动脉的TAVR的证据.

主要方法:

审查现有的文献和临床试验数据.
对BAV的成像和特征技术的分析.
对BAV的手术和透导管治疗方法的评估.

主要成果:

在需要主动脉干预的患者中,BAV疾病很普遍.
特定的成像对于表征BAV形态和并发症至关重要.
新出现的数据表明,TAVR可能是选择BAV患者的可行选择.

结论:

对于BAV患者的TAVR,需要采用结构化的方法.
需要进行进一步的研究,以确定BAV.的最佳TAVR策略.
心脏小组必须考虑BAV特定的因素,在决定对大动脉置换时.

关键词:

双主动脉门的双主动脉门严重的大动脉狭窄症手术上更换大动脉门.通过导管更换大动脉门.

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