在患有四柱性大动脉的患者中进行过导管大动脉置换:一系列病例和系统审查
Wenjing Sheng1,2, Dao Zhou1,2, Hanyi Dai1,2
1Department of Cardiology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Cardiology research and practice
|February 14, 2025
概括
过导管大动脉置换 (TAVR) 对四大动脉 (QAV) 疾病有前途,提供可行的早期和长期结果. 由于QAV,对冠状动脉阻塞的仔细注意是至关重要的.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 四柱动脉 (QAV) 是一种罕见的先天性异常.
- QAV经常与症状性大动脉反 (AR) 或大动脉狭窄 (AS) 相关.
- 通过导管的大动脉置换 (TAVR) 治疗QAV的疗效仍在研究中.
研究的目的:
- 评估TAVR在QAV患者的安全性和有效性.
- 评估QAV的TAVR的早期和长期结果.
- 在QAV患者中识别与TAVR相关的潜在并发症.
主要方法:
- 对从接受TAVR的QAV患者前性收集的数据进行回顾.
- 对QAV.发表的TAVR病例进行系统的文献审查.
- 对程序成功,并发症和后续数据的分析.
主要成果:
- 总共分析了36例病例 (5例来自中心,31例来自文献).
- 在100%的案件中,程序取得了成功.
- 并发症包括延迟冠状动脉阻塞 (2例) 和需要永久起器 (1例).
结论:
- 对于一些患有QAV的患者来说,TAVR似乎是一种可行的替代治疗方法.
- 初步的早期和长期结果表明TAVR对QAV有效.
- 由于QAV的独特解剖学,需要提高对冠状动脉阻塞的警.
更多相关视频
09:57Four-Dimensional Computed Tomography-Guided Valve Sizing for Transcatheter Pulmonary Valve Replacement
Published on: January 20, 2022
2.5K
05:31Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
2.8K
相关概念视频
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
