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经导管主动脉瓣置换术后并发症的预测、检测和管理的影像学评估。

Imaging for Predicting, Detecting, and Managing Complications After Transcatheter Aortic Valve Replacement.

机构信息

Cardiovascular Medicine, Wellstar Medical Group, Marietta, Georgia.

Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.

出版信息

JACC Cardiovasc Imaging. 2019 May;12(5):904-920. doi: 10.1016/j.jcmg.2018.07.036.

Abstract

The management of patients with valvular heart disease is increasingly reliant on multimodal cardiac imaging. In patients with severe aortic stenosis considered for transcatheter aortic valve replacement, careful pre-procedural planning with multimodal imaging is necessary to avoid and prevent complications during the procedure. During or immediately after the procedure, rapid echocardiographic assessment is important to assess the new valve's function and manage major complications. Echocardiography, cardiac computed tomography, and cardiac magnetic resonance imaging all share important roles in the post-procedural evaluation of abnormal transcatheter valve function. This review discusses the use of multimodal imaging for predicting, detecting, and managing complications after TAVR.

摘要

瓣膜性心脏病患者的管理越来越依赖于多模态心脏成像。对于考虑行经导管主动脉瓣置换术的严重主动脉瓣狭窄患者,需要进行多模态成像的仔细术前规划,以避免和预防手术过程中的并发症。在手术过程中或之后立即进行快速超声心动图评估对于评估新瓣膜的功能和处理主要并发症非常重要。超声心动图、心脏计算机断层扫描和心脏磁共振成像在经导管瓣膜功能异常的术后评估中都具有重要作用。本文讨论了多模态成像在预测、检测和处理 TAVR 后并发症方面的应用。

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