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经皮股动脉直接穿刺经导管主动脉瓣置换术并成功闭合主-双股动脉旁路移植术

Percutaneous Transfemoral TAVR With Direct Puncture and Successful Closure of Aortobifemoral Bypass Graft.

作者信息

Rosseel Liesbeth, Degrieck Ivan, De Bruyne Bernard, Søndergaard Lars, De Backer Ole

机构信息

The Heart Center, Rigshospitalet, Copenhagen, Denmark.

Cardiovascular Center Aalst, OLV Ziekenhuis, Aalst, Belgium.

出版信息

CJC Open. 2019 Nov 18;2(1):34-37. doi: 10.1016/j.cjco.2019.11.005. eCollection 2020 Jan.

DOI:10.1016/j.cjco.2019.11.005
PMID:32159135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7063652/
Abstract

Two successful cases of percutaneous transfemoral transcatheter aortic valve replacement (TAVR) in patients with previous aortobifemoral bypass graft surgery are presented. Both cases demonstrate feasibility of this strategy after careful preprocedural planning and suggest transfemoral TAVR can also be considered for patients when alternative access and/or general anaesthesia is excluded.

摘要

本文介绍了两例既往接受过主动脉双股动脉搭桥手术的患者经皮股动脉导管主动脉瓣置换术(TAVR)成功的病例。这两例病例均表明,经过仔细的术前规划,该策略具有可行性,并提示当排除其他入路和/或全身麻醉时,股动脉TAVR也可作为患者的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274e/7063652/1f946f99143a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274e/7063652/bd6416742f08/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274e/7063652/1f946f99143a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274e/7063652/bd6416742f08/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274e/7063652/1f946f99143a/gr2.jpg

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本文引用的文献

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J Thorac Dis. 2018 Oct;10(10):E744-E747. doi: 10.21037/jtd.2018.09.146.
2
Access Options for Transcatheter Aortic Valve Replacement in Patients with Unfavorable Aortoiliofemoral Anatomy.主动脉髂股解剖结构不佳患者经导管主动脉瓣置换术的入路选择
Curr Cardiol Rep. 2016 Nov;18(11):110. doi: 10.1007/s11886-016-0788-8.
3
Transcatheter aortic valve implantation vs. surgical aortic valve replacement for treatment of severe aortic stenosis: a meta-analysis of randomized trials.
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Eur Heart J. 2016 Dec 14;37(47):3503-3512. doi: 10.1093/eurheartj/ehw225. Epub 2016 Jul 7.
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