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成人主动脉缩窄的管理:最新进展

Management of Coarctation of The Aorta in Adult Patients: State of The Art.

作者信息

Alkashkari Wail, Albugami Saad, Hijazi Ziyad M

机构信息

King Saud Bin Abdulaziz University for Health Science, Jeddah, Saudi Arabia.

Department of Cardiology, King Faisal Cardiac Center, Ministry of national Guard Health Affairs, Jeddah, Saudi Arabia.

出版信息

Korean Circ J. 2019 Apr;49(4):298-313. doi: 10.4070/kcj.2018.0433.

DOI:10.4070/kcj.2018.0433
PMID:30895757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6428953/
Abstract

Coarctation of the aorta (CoA) is a common form of congenital heart disease. Adult patients with CoA may be asymptomatic or may present with hypertension. Over the last few years, endovascular management of adult patients with CoA emerged as the preferred strategy. Stent implantation, though technically challenging, offers the best and most lasting therapy. In this paper, we will review technical considerations and outcome of patients undergoing stent implantation for CoA.

摘要

主动脉缩窄(CoA)是先天性心脏病的一种常见形式。患有CoA的成年患者可能无症状,也可能出现高血压。在过去几年中,成年CoA患者的血管内治疗已成为首选策略。支架植入虽然在技术上具有挑战性,但却是最佳且最持久的治疗方法。在本文中,我们将回顾接受CoA支架植入患者的技术要点及治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/10c717f45c4e/kcj-49-298-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/e6fc7bc61d83/kcj-49-298-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/5ebf607e82e2/kcj-49-298-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/b560a4a8bbad/kcj-49-298-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/75e8ceeedca3/kcj-49-298-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/bef0fb9bb0a9/kcj-49-298-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/10c717f45c4e/kcj-49-298-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/e6fc7bc61d83/kcj-49-298-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/5ebf607e82e2/kcj-49-298-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/b560a4a8bbad/kcj-49-298-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/75e8ceeedca3/kcj-49-298-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/bef0fb9bb0a9/kcj-49-298-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b756/6428953/10c717f45c4e/kcj-49-298-g006.jpg

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2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2018年美国心脏协会/美国心脏病学会成人先天性心脏病管理指南:美国心脏病学会/美国心脏协会临床实践指南工作组报告
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A systematic review and meta-analysis of outcomes of transcatheter stent implantation for the primary treatment of native coarctation.经导管支架植入术治疗原发性先天性主动脉缩窄疗效的系统评价与Meta分析
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Artificial intelligence-based, non-invasive assessment of the central aortic pressure in adults after operative or interventional treatment of aortic coarctation.基于人工智能的主动脉缩窄手术或介入治疗后成人中心主动脉压无创评估。
Open Heart. 2025 Jan 21;12(1):e003058. doi: 10.1136/openhrt-2024-003058.
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Safety and efficacy of aortic coarctation stenting in children and adolescents.儿童及青少年主动脉缩窄支架置入术的安全性与有效性
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