Kpodonu Jacques, Raney Aidan A
Hoag Heart Valve Center, Hoag Presbyterian Memorial Hospital, One Hoag drive, Newport Beach, California 96663, USA.
J Card Surg. 2010 Jul;25(4):373-80. doi: 10.1111/j.1540-8191.2010.01041.x. Epub 2010 May 18.
One of the unique variables for successful implantation of transcatheter aortic valves involves the ability to secure an access route for deployment of the aortic valve.
A large number of the high-risk patients with critical aortic stenosis referred for transcatheter valve implantation approach may not be candidates for the femoral approach due to peripheral vascular disease with the morbidity and mortality increased severalfold in patients who develop access related complications.
METHOD & RESULTS: A thorough knowledge and review of various alternate access site techniques and trouble shooting are therefore important and required by the implanting cardiac surgeons involved in transcatheter aortic valve therapy.
The article review highlights the various percutaneous, hybrid, and surgical access techniques platforms available as well as options for implantation of these devices.
经导管主动脉瓣成功植入的独特变量之一涉及确保主动脉瓣部署进入途径的能力。
大量因严重主动脉瓣狭窄而转诊进行经导管瓣膜植入术的高危患者，可能因外周血管疾病而不适合采用股动脉途径，因为发生与进入途径相关并发症的患者的发病率和死亡率会增加数倍。
因此，参与经导管主动脉瓣治疗的心脏外科医生需要全面了解并回顾各种替代进入部位技术及故障排除方法。
本文综述重点介绍了可用的各种经皮、杂交和手术进入技术平台以及这些装置的植入选项。
Zotero 插件