Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Catheter Cardiovasc Interv. 2018 Dec 1;92(7):1458-1460. doi: 10.1002/ccd.27506. Epub 2018 Jan 23.
Currently, there are no recommendations regarding the selection of valve type for a transcatheter heart valve (THV)-in-THV procedure. A supra-annular valve design may be superior in that it results in a larger effective orifice area and may have a lower chance of valve thrombosis after THV-in-THV. In this report, we describe the use of a supra-annular valve strategy for an early degenerated THV.
目前,对于经导管心脏瓣膜(THV)内 THV 手术的瓣膜类型选择尚无相关建议。瓣环上瓣膜设计可能具有优势,因为它可导致更大的有效瓣口面积,并且在 THV 内 THV 后发生瓣膜血栓的可能性可能较低。在本报告中,我们描述了一种使用瓣环上瓣膜策略来处理早期退行性 THV 的方法。