超导管大动脉退化:一个结合的临床和转化视角
Joshua Yoon1, Quentin Liabot2, Colin Jamieson1
1Cardiovascular Translational Lab, Centre for Heart Lung Innovation & Providence Research, University of British Columbia, Vancouver, British Columbia, Canada.
随着使用范围的扩大,跨导管大动脉植入 (TAVI) 门的长期耐用性至关重要. 本综述详细介绍了TAVI门的生物假体退化 (BVD) 机制,成像,预防和重新干预策略.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 翻译科学 翻译科学
背景情况:
- 过导管大动脉植入 (TAVI) 越来越多地用于年轻,风险较低的患者.
- 生物假体门的长期耐用性是一个日益关注的问题,需要对生物假体门退化 (BVD) 有更深入的了解.
研究的目的:
- 为提供TAVI门中BVD背后的机制的全面概述.
- 审查目前和新兴的BVD检测,预防和管理策略.
主要方法:
- 文献综述综合基础科学,翻译研究和临床见解.
- 重点是多模式成像,药物和工程创新,以及重新干预策略.
主要成果:
- BVD是多因素的,涉及性/非性结构恶化,非结构性问题,血栓形成和程序因素.
- 多模式成像在检测,分类和监测BVD中发挥着关键作用.
- 正在开发预防和重新干预策略的新兴创新.
结论:
- 积极主动和量身定制的方法对于在患者一生中管理TAVI变性至关重要.
- 了解BVD机制可以为程序的改进提供信息,并改善长期患者的治疗结果.
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