Lee Jane J, Goldschlager Nora, Mahadevan Vaikom S
University of California San Francisco, San Francisco, CA, USA.
J Interv Card Electrophysiol. 2018 Aug;52(3):315-322. doi: 10.1007/s10840-018-0391-6. Epub 2018 Jun 24.
Aortic stenosis is the most common valvular heart disease in industrialized countries and the most common cause of left ventricular outflow tract (LVOT) obstruction. Transcatheter aortic valve replacement (TAVR) is an alternative to surgical aortic valve replacement for intermediate to high-risk surgical candidates with symptomatic severe aortic stenosis. Conduction system abnormalities, including atrioventricular (AV) and intraventricular (IV) block, are the most common complication of TAVR. In this review, we aim to explore the anatomical issues relevant to atrioventricular block, the relevant clinical and procedural aspects, and the management and long-term implications of AV and IV block.
在工业化国家,主动脉瓣狭窄是最常见的心脏瓣膜病,也是左心室流出道(LVOT)梗阻的最常见原因。经导管主动脉瓣置换术(TAVR)是一种手术主动脉瓣置换术的替代方案,适用于有症状的重度主动脉瓣狭窄的中高危手术候选人。传导系统异常,包括房室(AV)和室内(IV)阻滞,是TAVR最常见的并发症。在本综述中,我们旨在探讨与房室阻滞相关的解剖学问题、相关的临床和操作方面,以及房室和室内阻滞的管理及长期影响。