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经导管肺动脉瓣置换术:现状与未来潜力

Transcatheter Pulmonary Valve Replacement: Current Status and Future Potentials.

作者信息

Kenny Damien, Hijazi Ziyad M

机构信息

Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612, USA.

Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612, USA.

出版信息

Interv Cardiol Clin. 2013 Jan;2(1):181-193. doi: 10.1016/j.iccl.2012.09.008. Epub 2012 Dec 3.

Abstract

Although established, transcatheter pulmonary valve replacement is in its infancy compared with surgical pulmonary valve replacement. Extended clinical experience and follow-up have identified new challenges; however, careful evaluation of data through clinical trials has facilitated effective evolution of responses to these challenges. The limited patient population has resulted in less interest in new valve design, but having been the older sibling to transcatheter aortic valve replacement, transcatheter pulmonary valve replacement is likely to benefit in the future from design modifications to the more popular and commercially viable transcatheter aortic valve revolution. Improving valve longevity and applying the technology to native outflow tracts remain the short-to-medium term goals.

摘要

尽管经导管肺动脉瓣置换术已经确立,但与外科肺动脉瓣置换术相比仍处于起步阶段。更多的临床经验和随访发现了新的挑战;然而,通过临床试验对数据进行仔细评估有助于有效应对这些挑战。患者群体有限导致对新瓣膜设计的兴趣降低,但作为经导管主动脉瓣置换术的 “兄长”,经导管肺动脉瓣置换术未来可能会受益于对更流行且具有商业可行性的经导管主动脉瓣革命的设计改进。提高瓣膜寿命并将该技术应用于天然流出道仍是中短期目标。

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