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经导管主动脉瓣置换术中的脑部事件与保护

Cerebral events and protection during transcatheter aortic valve replacement.

作者信息

Freeman Melanie, Barbanti Marco, Wood David A, Ye Jian, Webb John G

机构信息

St. Paul's Hospital, University of British Columbia, Vancouver, Canada.

出版信息

Catheter Cardiovasc Interv. 2014 Nov 15;84(6):885-96. doi: 10.1002/ccd.25457. Epub 2014 Mar 4.

DOI:10.1002/ccd.25457
PMID:24550141
Abstract

Stroke has emerged as one of the most concerning complications following transcatheter aortic valve replacement (TAVR), associated with high morbidity and mortality. We discuss the potential mechanisms of stroke following TAVR, as well as the newly developed embolic protection devices aimed to reduce the risk of stroke.

摘要

中风已成为经导管主动脉瓣置换术(TAVR)后最令人担忧的并发症之一,其发病率和死亡率都很高。我们讨论了TAVR后中风的潜在机制,以及旨在降低中风风险的新开发的栓塞保护装置。

相似文献

1
Cerebral events and protection during transcatheter aortic valve replacement.经导管主动脉瓣置换术中的脑部事件与保护
Catheter Cardiovasc Interv. 2014 Nov 15;84(6):885-96. doi: 10.1002/ccd.25457. Epub 2014 Mar 4.
2
Front stroke, back stroke: the "emerging" interest of stroke in transcatheter aortic valve implantation.前行程、后行程:经导管主动脉瓣植入术中中风的“新出现”的相关问题
JACC Cardiovasc Interv. 2010 Nov;3(11):1139-40. doi: 10.1016/j.jcin.2010.07.014.
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Safety and performance of a novel embolic deflection device in patients undergoing transcatheter aortic valve replacement: results from the DEFLECT I study.新型栓塞转向装置在经导管主动脉瓣置换术中的安全性和性能:来自 DEFLECT I 研究的结果。
EuroIntervention. 2015 May;11(1):75-84. doi: 10.4244/EIJY15M04_01.
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Feasibility and exploratory efficacy evaluation of the Embrella Embolic Deflector system for the prevention of cerebral emboli in patients undergoing transcatheter aortic valve replacement: the PROTAVI-C pilot study.伞形栓塞防护装置预防经导管主动脉瓣置换术患者脑栓塞的可行性和探索性疗效评价:PROTAVI-C 先导研究。
JACC Cardiovasc Interv. 2014 Oct;7(10):1146-55. doi: 10.1016/j.jcin.2014.04.019.
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Embrella embolic deflection device for cerebral protection during transcatheter aortic valve replacement.用于经导管主动脉瓣置换术期间脑保护的Embrella栓塞偏转装置。
J Thorac Cardiovasc Surg. 2015 Mar;149(3):799-805.e1-2. doi: 10.1016/j.jtcvs.2014.05.097. Epub 2014 Oct 17.
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TriGuard HDH embolic deflection device for cerebral protection during transcatheter aortic valve replacement.用于经导管主动脉瓣置换术中脑保护的TriGuard HDH栓子偏转装置。
Catheter Cardiovasc Interv. 2017 Feb 15;89(3):470-477. doi: 10.1002/ccd.26566. Epub 2016 Apr 28.
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An embolic deflection device for aortic valve interventions.一种用于主动脉瓣介入的栓塞转向装置。
JACC Cardiovasc Interv. 2010 Nov;3(11):1133-8. doi: 10.1016/j.jcin.2010.05.022.
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Self-expanding prostheses for transcatheter aortic valve replacement.经导管主动脉瓣置换术中的自膨式假体。
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Percutaneous aortic valve replacement has come to stay.经皮主动脉瓣置换术已成为一种常用的治疗手段。
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Outcomes after transfemoral transcatheter aortic valve replacement: a comparison of the randomized PARTNER (Placement of AoRTic TraNscathetER Valves) trial with the NRCA (Nonrandomized Continued Access) registry.经股动脉经导管主动脉瓣置换术后的结局:PARTNER(AoRTic TraNscathetER 瓣膜的放置)随机试验与 NRCA(非随机持续准入)注册的比较。
JACC Cardiovasc Interv. 2014 Nov;7(11):1245-51. doi: 10.1016/j.jcin.2014.05.033. Epub 2014 Nov 17.

引用本文的文献

1
Prevalence of Neurovascular Microemboli After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后神经血管微栓子的发生率
J Soc Cardiovasc Angiogr Interv. 2023 Nov 30;3(1):101180. doi: 10.1016/j.jscai.2023.101180. eCollection 2024 Jan.
2
Understanding Neurologic Complications Following TAVR.了解经导管主动脉瓣置换术(TAVR)后的神经系统并发症
Interv Cardiol. 2018 Jan;13(1):27-32. doi: 10.15420/icr.2017:25:1.
3
Managing Stroke During Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术中的卒中管理
Interv Cardiol. 2017 May;12(1):25-30. doi: 10.15420/icr.2016:26:1.
4
Stroke after transcatheter aortic valve replacement: incidence, risk factors, prognosis, and preventive strategies.经导管主动脉瓣置换术后的卒中:发生率、危险因素、预后及预防策略。
Clin Cardiol. 2014 Dec;37(12):756-64. doi: 10.1002/clc.22328. Epub 2014 Nov 17.