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[外科/介入性瓣膜治疗后的抗血小板或抗凝策略]

[Antiplatelet or anticoagulative strategies after surgical/interventional valve treatment].

作者信息

Jobs A, Stiermaier T, Klotz S, Eitel I

机构信息

Medizinische Klinik II, Universitäres Herzzentrum Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

Klinik für Herz- und thorakale Gefäßchirurgie, Universitäres Herzzentrum Lübeck, Universitätsklinikum Schleswig-Holstein, Lübeck, Deutschland.

出版信息

Herz. 2018 Feb;43(1):26-33. doi: 10.1007/s00059-017-4646-2.

DOI:10.1007/s00059-017-4646-2
PMID:29147971
Abstract

At the end of August 2017 the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) published new joint guidelines for the treatment of valvular heart disease. These guidelines incorporate the scientific progress since the last version of the guidelines published in 2012. This article reviews current guideline recommendations for antiplatelet and anticoagulative therapy after surgical/interventional treatment of the aortic and mitral valves and discusses the underlying scientific evidence.

摘要

2017年8月底,欧洲心脏病学会(ESC)和欧洲心胸外科学会(EACTS)发布了瓣膜性心脏病治疗的新联合指南。这些指南纳入了自2012年发布上一版指南以来的科学进展。本文回顾了主动脉瓣和二尖瓣手术/介入治疗后抗血小板和抗凝治疗的当前指南建议,并讨论了其潜在的科学证据。

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Herz. 2018 Feb;43(1):26-33. doi: 10.1007/s00059-017-4646-2.
2
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J Heart Valve Dis. 2010 Jul;19(4):471-2.
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本文引用的文献

1
German Heart Surgery Report 2016: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery.《2016年德国心脏外科报告:德国胸心血管外科学会年度更新登记册》
Thorac Cardiovasc Surg. 2017 Oct;65(7):505-518. doi: 10.1055/s-0037-1606603. Epub 2017 Sep 13.
2
2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: The Task Force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS).2017年欧洲心脏病学会(ESC)与欧洲心胸外科学会(EACTS)合作制定的冠状动脉疾病双联抗血小板治疗重点更新:欧洲心脏病学会(ESC)和欧洲心胸外科学会(EACTS)冠状动脉疾病双联抗血小板治疗特别工作组。
Eur Heart J. 2018 Jan 14;39(3):213-260. doi: 10.1093/eurheartj/ehx419.
3
Aortic Valve Bioprostheses: Leaflet Immobility and Valve Thrombosis.主动脉瓣生物瓣:瓣叶活动不良和瓣叶血栓形成。
Circulation. 2017 May 2;135(18):1749-1756. doi: 10.1161/CIRCULATIONAHA.116.025429.
4
Subclinical leaflet thrombosis in surgical and transcatheter bioprosthetic aortic valves: an observational study.外科和经导管生物瓣主动脉瓣中的亚临床瓣叶血栓形成:一项观察性研究。
Lancet. 2017 Jun 17;389(10087):2383-2392. doi: 10.1016/S0140-6736(17)30757-2. Epub 2017 Mar 19.
5
2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2017年美国心脏协会/美国心脏病学会对2014年《美国心脏协会/美国心脏病学会瓣膜性心脏病患者管理指南》的重点更新:美国心脏病学会/美国心脏协会临床实践指南工作组报告
J Am Coll Cardiol. 2017 Jul 11;70(2):252-289. doi: 10.1016/j.jacc.2017.03.011. Epub 2017 Mar 15.
6
Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients.中危患者的外科手术或经导管主动脉瓣置换术。
N Engl J Med. 2017 Apr 6;376(14):1321-1331. doi: 10.1056/NEJMoa1700456. Epub 2017 Mar 17.
7
Incidence, Predictors, and Mid-Term Outcomes of Possible Leaflet Thrombosis After TAVR.经导管主动脉瓣置换术(TAVR)后可能发生的瓣叶血栓形成的发生率、预测因素及中期结局
JACC Cardiovasc Imaging. 2016 Dec 8. doi: 10.1016/j.jcmg.2016.11.005.
8
Prosthetic Heart Valve Thrombosis.人工心脏瓣膜血栓形成。
J Am Coll Cardiol. 2016 Dec 20;68(24):2670-2689. doi: 10.1016/j.jacc.2016.09.958.
9
Course of early subclinical leaflet thrombosis after transcatheter aortic valve implantation with or without oral anticoagulation.经导管主动脉瓣植入术后早期亚临床瓣叶血栓形成的病程:有无口服抗凝治疗的情况
Clin Res Cardiol. 2017 Feb;106(2):85-95. doi: 10.1007/s00392-016-1052-3. Epub 2016 Nov 16.
10
Percutaneous mitral valve repair with the MitraClip system in the elderly: One-year outcomes from the GRASP registry.老年患者经皮使用MitraClip系统进行二尖瓣修复:GRASP注册研究的一年期结果。
Int J Cardiol. 2016 Dec 1;224:440-446. doi: 10.1016/j.ijcard.2016.09.076. Epub 2016 Sep 24.