Laborde Jean-Claude, Brecker Stephen J D, Roy David, Jahangiri Marjan
St. George's Hospital, London, United Kingdom.
Methodist Debakey Cardiovasc J. 2012 Apr-Jun;8(2):38-41. doi: 10.14797/mdcj-8-2-38.
Transcatheter aortic valve implantation (TAVI) improves the prognosis of patients with severe aortic stenosis who are deemed too high risk for surgical valve replacement. However, this evolving technology is associated with a wide range of potential complications--some specific to TAVI, some often fatal. Prevention, early recognition, and effective treatment of these complications will significantly improve the outcome of this procedure and are essential prerequisites before the therapy is extended to lower-risk patient subsets.
经导管主动脉瓣植入术（TAVI）改善了那些被认为进行外科瓣膜置换手术风险过高的严重主动脉瓣狭窄患者的预后。然而，这项不断发展的技术伴随着一系列潜在并发症——有些是TAVI特有的，有些往往是致命的。对这些并发症进行预防、早期识别和有效治疗将显著改善该手术的结果，并且是在将该治疗扩展到低风险患者亚组之前的必要先决条件。
