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Transcatheter aortic valve replacement with the VenusA-Pro and VenusA-Plus systems: preliminary experience in China.使用VenusA-Pro和VenusA-Plus系统进行经导管主动脉瓣置换术:中国的初步经验。
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2
Anatomic predictor of severe prosthesis malposition following transcatheter aortic valve replacement with self- expandable Venus-A Valve among pure aortic regurgitation: A multicenter retrospective study.单纯主动脉瓣反流患者经导管主动脉瓣置换术使用自膨式Venus-A瓣膜后严重假体位置不当的解剖学预测因素:一项多中心回顾性研究。
Front Cardiovasc Med. 2022 Dec 8;9:1002071. doi: 10.3389/fcvm.2022.1002071. eCollection 2022.
3
Effect of Eccentric Calcification of an Aortic Valve on the Implant Depth of a Venus-A Prosthesis During Transcatheter Aortic Valve Replacement: A Retrospective Study.经导管主动脉瓣置换术中主动脉瓣偏心钙化对Venus-A人工瓣膜植入深度的影响:一项回顾性研究
Front Physiol. 2021 Aug 6;12:718065. doi: 10.3389/fphys.2021.718065. eCollection 2021.
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Anatomical Predictors of Valve Malposition During Self-Expandable Transcatheter Aortic Valve Replacement.自膨胀式经导管主动脉瓣置换术中瓣膜位置异常的解剖学预测因素
Front Cardiovasc Med. 2021 Jul 12;8:600356. doi: 10.3389/fcvm.2021.600356. eCollection 2021.
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The first two cases of transcatheter mitral valve repair with ARTO system in Asia.亚洲首例使用ARTO系统进行经导管二尖瓣修复的两例病例。
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Ascending aortic dilatation rate after transcatheter aortic valve replacement in patients with bicuspid and tricuspid aortic stenosis: A multidetector computed tomography follow-up study.二叶式和三叶式主动脉瓣狭窄患者经导管主动脉瓣置换术后升主动脉扩张率:一项多层螺旋计算机断层扫描随访研究。
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本文引用的文献

1
2017 ESC/EACTS Guidelines for the management of valvular heart disease.2017年欧洲心脏病学会/欧洲心胸外科学会瓣膜性心脏病管理指南。
Eur Heart J. 2017 Sep 21;38(36):2739-2791. doi: 10.1093/eurheartj/ehx391.
2
Outcomes in Transcatheter Aortic Valve Replacement for Bicuspid Versus Tricuspid Aortic Valve Stenosis.经导管主动脉瓣置换术治疗二叶式主动脉瓣与三叶式主动脉瓣狭窄的结局比较。
J Am Coll Cardiol. 2017 May 30;69(21):2579-2589. doi: 10.1016/j.jacc.2017.03.017. Epub 2017 Mar 18.
3
Evaluation of the safety and efficacy of transcatheter aortic valve implantation in patients with a severe stenotic bicuspid aortic valve in a Chinese population.中国人群中严重狭窄二叶式主动脉瓣患者经导管主动脉瓣植入术的安全性和有效性评估。
J Zhejiang Univ Sci B. 2015 Mar;16(3):208-14. doi: 10.1631/jzus.B1500017.
4
Morphological characteristics of severe aortic stenosis in China: imaging corelab observations from the first Chinese transcatheter aortic valve trial.中国重度主动脉瓣狭窄的形态学特征:来自中国首例经导管主动脉瓣试验的影像核心实验室观察结果
Catheter Cardiovasc Interv. 2015 Mar;85 Suppl 1:752-61. doi: 10.1002/ccd.25863. Epub 2015 Feb 19.

可回收和可重新定位的VenusA-Plus瓣膜首次人体植入。

First-in-man implantation of the retrievable and repositionable VenusA-Plus valve.

作者信息

Liu Xian-Bao, He Yu-Xin, Liu Chun-Hui, Wang Li-Han, Gao Feng, Yu Lei, Dong Ai-Qiang, Kong Min-Jian, Chen Ji-Fang, Xu Yong, Zhou Qi-Jing, Yan Min, Wang Jian-An

机构信息

Department of Cardiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Cardiovascular Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

World J Emerg Med. 2018;9(1):64-66. doi: 10.5847/wjem.j.1920-8642.2018.01.010.

DOI:10.5847/wjem.j.1920-8642.2018.01.010
PMID:29290898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5717379/
Abstract

BACKGROUND

No retrievable and repositionable second generation transcatheter aortic valve is available in China. Here, we report the first-in-man implantation of the retrievable and repositionable VenusA-Plus valve.

METHODS

A 76-year-old patient with symptomatic severe aortic stenosis and high surgical risk (STS 13.8%) was recommended for transcatheter aortic valve replacement (TAVR) by heart valve team. Type 0 bicuspid aortic valve with asymmetric calcification was identified by dual source computed tomography, and the unfavorable anatomies increased the possibility of malposition and paravalvular leakage during TAVR. Therefore, we used the retrievable and repositionable VenusA-Plus valve for the patient.

RESULTS

Transfemoral TAVR was performed under local anesthesia with sedation, and a 26mm VenusA-Plus valve was successfully implanted. No transvalvular pressure gradient and trace paravalvular leakage were found.

CONCLUSION

The successful first-in-man implantation indicates the retrievable and repositionable VenusA-Plus valve is feasible in complicated TAVR cases such as bicuspid aortic valve.

摘要

背景

中国尚无可回收和重新定位的第二代经导管主动脉瓣。在此,我们报告首例可回收和重新定位的VenusA-Plus瓣膜人体植入情况。

方法

一名76岁有症状的严重主动脉瓣狭窄且手术风险高(胸外科医师协会评分13.8%)的患者被心脏瓣膜团队推荐行经导管主动脉瓣置换术(TAVR)。通过双源计算机断层扫描确定为0型二叶式主动脉瓣伴不对称钙化,这种不利的解剖结构增加了TAVR期间瓣膜位置不当和瓣周漏的可能性。因此,我们为该患者使用了可回收和重新定位的VenusA-Plus瓣膜。

结果

在局部麻醉加镇静下进行经股动脉TAVR,成功植入一枚26mm的VenusA-Plus瓣膜。未发现跨瓣压差,瓣周漏微量。

结论

首例人体成功植入表明,可回收和重新定位的VenusA-Plus瓣膜在诸如二叶式主动脉瓣等复杂TAVR病例中是可行的。