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[磁共振成像在主动脉瓣置换术前后主动脉瓣狭窄患者中的作用]

[Role of magnetic resonance imaging in patients with aortic stenosis before and after replacement of the valve].

作者信息

Shariya M A, Ustyuzhanin D V, Lepilin P M, Imaev T E, Komlev A E, Belyaevskaya A A, Ternovoy S K

机构信息

Myasnikov Institute of Clinical Cardiology, National Medical Research Center for Cardiology.

Sechenov First Moscow State Medical University (Sechenov University).

出版信息

Ter Arkh. 2020 Oct 14;92(9):70-76. doi: 10.26442/00403660.2020.09.000657.

Abstract

Risk stratification among patients with aortic stenosis remains inadequate, and there is a clinical need for the correct identification of high-risk patients who would benefit from aortic valve intervention before developing left ventricular decompensation. Since the publication of the results of the PARTNER study, transcatheter aortic valve implantation (TAVI) has become the method of choice for aortic valve stenosis in inoperable patients and is a real alternative to conventional surgical replacement of the aortic valve in high-risk patients. In planning TAVI and postoperative monitoring of a patient from imaging methods, the leading role is played by echocardiography and multispiral computed tomography. However, in recent years, the interest of researchers in the use of magnetic resonance imaging in this category of patients has increased. The review article examines the potential role of magnetic resonance imaging in patients with aortic stenosis before and after TAVI.

摘要

主动脉瓣狭窄患者的风险分层仍然不够完善,临床上需要正确识别出在左心室失代偿之前能从主动脉瓣干预中获益的高危患者。自PARTNER研究结果公布以来,经导管主动脉瓣植入术(TAVI)已成为无法手术患者主动脉瓣狭窄的首选治疗方法,并且是高危患者传统主动脉瓣置换术的真正替代方案。在通过成像方法规划患者的TAVI及术后监测时,超声心动图和多层螺旋计算机断层扫描发挥着主导作用。然而,近年来,研究人员对在这类患者中使用磁共振成像的兴趣有所增加。这篇综述文章探讨了磁共振成像在TAVI前后主动脉瓣狭窄患者中的潜在作用。

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