Obon-Dent Mauricio, Reul Ross M, Mortazavi Ali
Division of Cardiology and Cardiovascular Surgery, Texas Heart Institute, Houston, Texas.
Catheter Cardiovasc Interv. 2014 Aug 1;84(2):306-10. doi: 10.1002/ccd.25141. Epub 2014 May 7.
Transcatheter aortic valve replacement (TAVR) has emerged as an alternative therapy to open aortic valve repair for high-risk patients with aortic stenosis, but larger delivery sheath size is associated with vascular complications. We report 2 cases in which a minimally invasive technique was used for the hybrid repair of confirmed or suspected large-bore sheath traumatic avulsion (i.e., "iliac on a stick") after TAVR. We believe our hybrid approach to rescuing the iliac artery in suspected or confirmed complete artery avulsion could improve outcomes for patients who require TAVR.
经导管主动脉瓣置换术（TAVR）已成为治疗高危主动脉瓣狭窄患者的一种替代开胸主动脉瓣修复术的疗法，但较大的输送鞘尺寸与血管并发症相关。我们报告了2例采用微创技术对TAVR术后确诊或疑似大口径鞘管外伤性撕脱（即“髂动脉成棍状”）进行杂交修复的病例。我们认为，我们用于抢救疑似或确诊完全性动脉撕脱患者髂动脉的杂交方法可改善需要TAVR患者的治疗效果。
