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生物人工心脏瓣膜:升级一项已有50年历史的技术。

Bioprosthetic Heart Valves: Upgrading a 50-Year Old Technology.

作者信息

Li Kan Yan Chloe

机构信息

Institute of Cardiovascular Science, University College London, London, United Kingdom.

出版信息

Front Cardiovasc Med. 2019 Apr 11;6:47. doi: 10.3389/fcvm.2019.00047. eCollection 2019.

DOI:10.3389/fcvm.2019.00047
PMID:31032263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6470412/
Abstract

Prosthetic heart valves have been commonly used to address the increasing prevalence of valvular heart disease. The ideal prosthetic heart valve substitute should closely mimic the characteristics of a normal native heart valve. Despite the development of various interventions, an exemplary valve replacement does not exist. This review provides an overview of the novel engineering valve designs and explores emergent immunologic insights into age-dependent structural valve degeneration (SVD).

摘要

人工心脏瓣膜已被广泛用于应对日益增多的心脏瓣膜病。理想的人工心脏瓣膜替代品应紧密模仿正常天然心脏瓣膜的特性。尽管已开展了各种干预措施,但仍不存在堪称典范的瓣膜置换物。本综述概述了新型工程瓣膜设计,并探讨了针对年龄依赖性结构性瓣膜退变(SVD)的新出现的免疫学见解。

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本文引用的文献

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B4GALNT2 and xenotransplantation: A newly appreciated xenogeneic antigen.B4GALNT2 与异种移植:一种新发现的异种抗原。
Xenotransplantation. 2018 Sep;25(5):e12394. doi: 10.1111/xen.12394. Epub 2018 Mar 31.
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Transcatheter versus surgical aortic valve replacement in patients at low surgical risk: A meta-analysis of randomized trials and propensity score matched observational studies.低手术风险患者经导管主动脉瓣置换术与外科主动脉瓣置换术的比较:随机试验和倾向评分匹配观察性研究的荟萃分析
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Primary safety and effectiveness feasibility study after surgical aortic valve replacement with a new generation bioprosthesis: one-year outcomes.新一代生物瓣主动脉瓣置换术后的主要安全性和有效性可行性研究:一年结果。
Kardiol Pol. 2018;76(3):618-624. doi: 10.5603/KP.a2017.0262. Epub 2018 Jan 3.
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Mechanical or Biologic Prostheses for Aortic-Valve and Mitral-Valve Replacement.用于主动脉瓣和二尖瓣置换的机械或生物假体
N Engl J Med. 2017 Nov 9;377(19):1847-1857. doi: 10.1056/NEJMoa1613792.
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The COMMENCE trial: 2-year outcomes with an aortic bioprosthesis with RESILIA tissue.COMMENCE 试验:带 RESILIA 组织的主动脉生物瓣 2 年结果。
Eur J Cardiothorac Surg. 2017 Sep 1;52(3):432-439. doi: 10.1093/ejcts/ezx158.
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Eur Heart J. 2017 Jul 21;38(28):2183-2191. doi: 10.1093/eurheartj/ehx141.
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Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients.中危患者的外科手术或经导管主动脉瓣置换术。
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