先天性心脏病经导管肺动脉瓣置换术
Transcatheter Pulmonary Valve Replacement in Congenital Heart Disease.
作者信息
Sinha Sanjay, Aboulhosn Jamil, Levi Daniel S
机构信息
Department of Pediatrics, Division of Cardiology, UCLA Mattel Children's Hospital, Los Angeles, CA, USA.
Department of Pediatrics, Division of Cardiology, UCLA Mattel Children's Hospital, Los Angeles, CA, USA; Department of Medicine, Division of Cardiology, Ahmanson/UCLA Adult Congenital Heart Disease Center, Ronald Reagan UCLA Medical Center, 100 Medical Plaza, Suite 630E, Los Angeles, CA 90024, USA.
出版信息
Interv Cardiol Clin. 2019 Jan;8(1):59-71. doi: 10.1016/j.iccl.2018.08.006.
Patients with dysfunctional right ventricular outflow tracks comprise a large portion of patients with severe congenital heart disease. Transcatheter pulmonary valve replacement in patients with dysfunctional right ventricular outflow tracks is feasible, safe, and efficacious. This article reviews current transcatheter valve replacement technology for dysfunctional right ventricular outflow tract and pulmonary valvular disease and its applications to patients with congenital heart disease. Discussed are the approach and preprocedural planning, current options, and applications of transcatheter pulmonary valve therapy. Also considered are future directions in this field as the technologies begin to develop further.
右心室流出道功能障碍的患者占严重先天性心脏病患者的很大一部分。对右心室流出道功能障碍的患者进行经导管肺动脉瓣置换术是可行、安全且有效的。本文综述了目前用于右心室流出道功能障碍和肺动脉瓣疾病的经导管瓣膜置换技术及其在先天性心脏病患者中的应用。讨论了经导管肺动脉瓣治疗的方法和术前规划、当前的选择以及应用。随着技术的进一步发展，还考虑了该领域的未来方向。
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