体外循环下经导管主动脉瓣置换术后使用Impella支持的分期高危经皮冠状动脉介入治疗。
Staged High-Risk Percutaneous Coronary Intervention with Impella Support after On-Pump Transcatheter Aortic Valve Replacement.
作者信息
Arora Sameer, Bahekar Amol A
出版信息
Tex Heart Inst J. 2016 Oct 1;43(5):423-427. doi: 10.14503/THIJ-16-5770. eCollection 2016 Oct.
Abstract
The management of concomitant obstructive coronary artery disease and severe aortic stenosis in poor surgical candidates is an evolving topic. Although the typical current practice is to perform percutaneous revascularization before transcatheter aortic valve replacement (TAVR), some data have emerged regarding revascularization after performing TAVR. We present the case of a 90-year-old man with multivessel coronary artery disease who was at prohibitive risk for surgical aortic valve replacement. We first performed TAVR with use of hemodynamic support, then Impella-assisted multivessel percutaneous coronary intervention on the patient's unprotected left main coronary artery. We describe this complex case and review the medical literature on percutaneous coronary intervention after TAVR.
摘要
对于手术风险高的合并阻塞性冠状动脉疾病和严重主动脉瓣狭窄患者的管理是一个不断发展的话题。虽然目前的典型做法是在经导管主动脉瓣置换术（TAVR）之前进行经皮血管重建，但也有一些关于TAVR术后血管重建的数据出现。我们报告一例90岁患有多支冠状动脉疾病的男性患者，其接受外科主动脉瓣置换术的风险极高。我们首先在血流动力学支持下进行了TAVR，然后对患者无保护的左主干冠状动脉进行了Impella辅助的多支经皮冠状动脉介入治疗。我们描述了这个复杂病例，并回顾了关于TAVR术后经皮冠状动脉介入治疗的医学文献。
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本文引用的文献
1
Challenges in coronary CTO intervention after TAVR: a case report and discussion.
Indian Heart J. 2015 Sep-Oct;67(5):476-9. doi: 10.1016/j.ihj.2015.06.014. Epub 2015 Aug 8.
2
Mechanical circulatory support with impella to facilitate percutaneous coronary intervention for post-TAVI bilateral coronary obstruction.
Catheter Cardiovasc Interv. 2016 Jul;88(1):E34-7. doi: 10.1002/ccd.26075. Epub 2015 Jun 23.
3
Challenges of coronary angiography and intervention in patients previously treated by TAVI.
Clin Res Cardiol. 2015 Aug;104(8):632-9. doi: 10.1007/s00392-015-0824-5. Epub 2015 Feb 27.
4
Position of Edwards SAPIEN transcatheter valve in the aortic root in relation with the coronary ostia: implications for percutaneous coronary interventions.
Catheter Cardiovasc Interv. 2015 Feb 15;85(3):480-7. doi: 10.1002/ccd.25718. Epub 2014 Nov 12.
5
Trans-aortic percutaneous heart valve deployment of Impella CP(TM) to assist in high-risk percutaneous coronary intervention.
Heart Lung Circ. 2014 May;23(5):e142-4. doi: 10.1016/j.hlc.2013.12.012. Epub 2014 Jan 24.
6
Coronary angioplasty after self-expandable transcatheter aortic valve implantation.
J Invasive Cardiol. 2013 Jul;25(7):361-3.
7
Severe aortic stenosis and coronary artery disease--implications for management in the transcatheter aortic valve replacement era: a comprehensive review.
J Am Coll Cardiol. 2013 Jul 2;62(1):1-10. doi: 10.1016/j.jacc.2013.01.096. Epub 2013 May 1.
8
[A case of percutaneous coronary intervention after transfemoral implantation of a medtronic CoreValve System].
Monaldi Arch Chest Dis. 2011 Dec;76(4):205-7. doi: 10.4081/monaldi.2011.179.
9
Coronary artery disease and aortic stenosis in the transcatheter aortic valve replacement era: old questions, new paradigms: the evolving role of percutaneous coronary intervention in the treatment of patients with aortic stenosis.
Circulation. 2012 Feb 28;125(8):975-7. doi: 10.1161/CIRCULATIONAHA.111.087965. Epub 2012 Jan 26.
10
Heart team approach for transcatheter aortic valve implantation procedures complicated by coronary artery occlusion.
Interact Cardiovasc Thorac Surg. 2012 Apr;14(4):431-3. doi: 10.1093/icvts/ivr136. Epub 2012 Jan 9.
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