Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada.
Department of Medicine, Dalhousie University, QE II Health Sciences Center, Halifax, Nova Scotia, Canada.
Can J Cardiol. 2014 Sep;30(9):1108.e1-3. doi: 10.1016/j.cjca.2013.12.011. Epub 2013 Dec 20.
Transcatheter aortic valve implantation (TAVR) has grown rapidly over the past 10 years. Device and delivery catheter systems have evolved to facilitate the procedure and reduce the risk of associated complications, including those related to vascular access. It is important to understand the utility of the TAVR equipment in patients with more challenging anatomy to select the most appropriate technique for this complex procedure. We report the first case, to our knowledge, of a patient with dextrocardia situs inversus and previous coronary artery bypass grafting who underwent TAVR from the femoral route using the Edwards SAPIEN XT Novaflex+ Transfemoral System (Edwards Lifesciences, Irvine, CA).
经导管主动脉瓣植入术（TAVR）在过去 10 年中发展迅速。设备和输送导管系统不断发展，以促进手术并降低相关并发症的风险，包括与血管入路相关的并发症。了解 TAVR 设备在解剖结构更具挑战性的患者中的应用非常重要，以便为这一复杂的手术选择最合适的技术。我们报告了首例已知病例，一位右位心伴内脏反位和既往冠状动脉旁路移植术的患者，经股动脉途径使用 Edwards SAPIEN XT Novaflex+ 经股系统（Edwards Lifesciences，Irvine，CA）进行了 TAVR。
