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经导管肺动脉瓣置换术后感染性心内膜炎的预防和管理:现状与未来展望。

Prevention and management of endocarditis after transcatheter pulmonary valve replacement: current status and future prospects.

机构信息

Departments of Cardiothoracic Surgery and Pediatrics (Cardiology), Stanford University School of Medicine, Palo Alto, CA, USA.

出版信息

Expert Rev Med Devices. 2021 Jan;18(1):23-30. doi: 10.1080/17434440.2021.1857728. Epub 2020 Dec 18.

Abstract

: Transcatheter pulmonary valve replacement (TPVR) has become an important tool in the management of congenital heart disease with abnormalities of the right ventricular outflow tract. Endocarditis is one of the most serious adverse long-term outcomes and among the leading causes of death in patients with congenital heart disease and after (TPVR).: This review discusses the current state knowledge about the risk factors for and outcomes of endocarditis after transcatheter pulmonary valve replacement in patients with congenital and acquired heart disease. It also addresses practical measures for mitigating endocarditis risk, as well as diagnosing and managing endocarditis when it does occur.: With increasing understanding of the risk factors for and management and outcomes of endocarditis in patients who have undergone TPVR, we continue to learn how to utilize TPVR most effectively in this complex population of patients.

摘要

经导管肺动脉瓣置换术 (TPVR) 已成为治疗右心室流出道异常的先天性心脏病的重要手段。感染性心内膜炎是最严重的不良长期后果之一,也是先天性心脏病和(TPVR)后患者死亡的主要原因之一。

本综述讨论了目前关于先天性和获得性心脏病患者经导管肺动脉瓣置换术后感染性心内膜炎的危险因素和结局的知识。它还讨论了减轻心内膜炎风险的实用措施,以及在心内膜炎发生时如何诊断和治疗心内膜炎。

随着对接受 TPVR 治疗的患者的心内膜炎的危险因素、管理和结局的认识不断加深,我们继续学习如何在这一复杂的患者群体中最有效地利用 TPVR。

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