Mangner N, Schuler G, Linke A
University of Leipzig - Heart Center Leipzig Department of Internal Medicine/Cardiology Leipzig, Germany -
Minerva Cardioangiol. 2013 Aug;61(4):393-405.
Transcatheter aortic valve implantation (TAVI) has become a feasible and effective therapeutic option for patients with severe aortic stenosis and high operative risk or relative contraindications for surgical aortic valve replacement (SAVR). Patient selection plays a crucial role in the success of TAVI. Echocardiography is a mainstay during the whole process starting with the very important morphological evaluation and accurate measurement of the aortic root, followed by guiding the procedure and detecting possible complications, and ending with serial assessment of the patient's heart and the implanted prosthesis. This present article reviews the role of echocardiography before, during, and after transcatheter aortic valve implantation.
经导管主动脉瓣植入术（TAVI）已成为严重主动脉瓣狭窄且手术风险高或存在外科主动脉瓣置换术（SAVR）相对禁忌证患者的一种可行且有效的治疗选择。患者选择在TAVI的成功中起着关键作用。超声心动图在整个过程中起着支柱作用，从非常重要的主动脉根部形态学评估和精确测量开始，接着引导手术并检测可能的并发症，最后对患者心脏和植入的人工瓣膜进行系列评估。本文综述了超声心动图在经导管主动脉瓣植入术前、术中和术后的作用。
