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经导管主动脉瓣置换术治疗严重人工瓣膜反流的经导管主动脉瓣置换瓣膜

Transcatheter Aortic Valve Replacement Valve in Transcatheter Aortic Valve Replacement Valve for Severe Periprosthetic Regurgitation.

作者信息

Nandy Sneha, Wan Siu-Hin, Klarich Kyle

机构信息

Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.

出版信息

Heart Views. 2020 Jan-Mar;21(1):49-51. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_92_18. Epub 2020 Jan 23.

DOI:10.4103/HEARTVIEWS.HEARTVIEWS_92_18
PMID:32082502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7006332/
Abstract

The management of postprocedure severe aortic periprosthetic regurgitation after transcatheter aortic valve replacement (TAVR) is unknown. While valve-in-valve TAVR has been associated with favorable outcomes for degenerative surgically implanted bioprosthetic valves, there are no evidence-based guidelines for immediate TAVR valve in TAVR valve for periprosthetic regurgitation. We present a patient who underwent a TAVR valve in TAVR valve implantation within 48 h of her first procedure and showed a good response.

摘要

经导管主动脉瓣置换术（TAVR）后严重主动脉瓣周反流的处理尚不清楚。虽然瓣中瓣TAVR已被证明对退行性外科植入生物瓣膜有良好效果，但对于TAVR术后立即进行瓣中瓣TAVR治疗瓣周反流，尚无循证指南。我们报告了1例患者，在首次手术48小时内接受了TAVR瓣中瓣植入，效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/0b2dbb7dc7c1/HV-21-49-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/3baa3452d132/HV-21-49-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/ec6b2e630e35/HV-21-49-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/0b2dbb7dc7c1/HV-21-49-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/3baa3452d132/HV-21-49-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/ec6b2e630e35/HV-21-49-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b461/7006332/0b2dbb7dc7c1/HV-21-49-g003.jpg

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本文引用的文献

1
Evaluation and management of paravalvular aortic regurgitation after transcatheter aortic valve replacement.经导管主动脉瓣置换术后瓣周主动脉瓣反流的评估和处理。
J Am Coll Cardiol. 2013 Jul 2;62(1):11-20. doi: 10.1016/j.jacc.2013.02.088. Epub 2013 May 1.
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Current status of transcatheter aortic valve replacement.经导管主动脉瓣置换术的现状。
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Transcatheter valve-in-valve implantation for failed balloon-expandable transcatheter aortic valves.
经皮球囊扩张式经导管主动脉瓣置换术后瓣中瓣植入术。
JACC Cardiovasc Interv. 2012 May;5(5):571-577. doi: 10.1016/j.jcin.2012.03.008.
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Transcatheter aortic valve implantation: current and future approaches.经导管主动脉瓣植入术：当前和未来的方法。
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Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery.经导管主动脉瓣植入术治疗不能手术的主动脉瓣狭窄患者。
N Engl J Med. 2010 Oct 21;363(17):1597-607. doi: 10.1056/NEJMoa1008232. Epub 2010 Sep 22.