经颈动脉经导管主动脉瓣植入术。
Transcarotid transcatheter aortic valve implantation.
作者信息
Laurent Nicolas, Maureira Pablo, Bertram Maxime, Elfarra Mazen, Vanhuyse Fabrice, Grandmougin Daniel, Angioi Michael, Folliguet Thierry A
机构信息
Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France.
Department of Cardiovascular Surgery and Transplantation, CHU Brabois, University of Lorraine, Nancy, France Pôle Territorial Lorrain, Chirurgie Cardiaque Vasculaire and Transplantation, Institut Lorrain du Coeur and des Vaisseaux Louis Mathieu, Centre Hospitalier Universitaire Brabois, Université de Lorraine, Vandoeuvre Les Nancy, France
出版信息
Multimed Man Cardiothorac Surg. 2016 Apr 14;2016. doi: 10.1093/mmcts/mmw005. Print 2016.
Transcatheter aortic valve implantation is a well-recognized treatment option for high-risk patients with aortic stenosis. The femoral approach is possible in 80% of cases. Initially, only the transcarotid and subclavian approaches were performed as alternative routes. Both approaches have advantages and disadvantages. The carotid approach is a new approach that offers direct vascular access to the aortic valve. The technique of access is very simple and well known to all cardiovascular surgeons, and the morbidity is minimal. It avoids a thoracotomy with all its complications. We present here our technique and results of our initial experience.
经导管主动脉瓣植入术是公认的高危主动脉瓣狭窄患者的治疗选择。80%的病例可采用股动脉入路。最初，仅将经颈动脉和锁骨下动脉入路作为替代途径。这两种入路都有优缺点。颈动脉入路是一种新的入路，可直接经血管到达主动脉瓣。该入路技术非常简单，所有心血管外科医生都熟知，且发病率极低。它避免了开胸手术及其所有并发症。我们在此展示我们的技术及初步经验的结果。
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