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阿莱格拉经导管心脏瓣膜植入退化的无缝合主动脉生物假体内部。

Allegra Transcatheter Heart Valve inside a Degenerated Sutureless Aortic Bioprosthesis.

作者信息

Vondran Maximilian, Abt Bernd, Nef Holger, Rastan Ardawan J

机构信息

Department of Cardiac and Thoracic Vascular Surgery, University Hospital Giessen and Marburg, Campus Marburg, Marburg, Germany.

Department of Cardiac and Vascular Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2021 Jan;10(1):e1-e5. doi: 10.1055/s-0040-1721483. Epub 2021 Jan 19.

DOI:10.1055/s-0040-1721483
PMID:33489712
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7815337/
Abstract

Transcatheter aortic valve-in-valve implantation (VIV) is increasingly being used to successfully treat degenerated surgical aortic valve bioprostheses (SAVs). The new self-expanding transcatheter heart valve Allegra, from New Valve Technology with its special implantation mechanism, has proven its safety and feasibility for patients with degenerated SAVs, but it has never been used in the latest-generation sutureless SAV. To the best of our knowledge, this is the first description of the successful VIV of the Allegra prosthesis into a degenerated sutureless SAV, and the procedure yielded an excellent postinterventional hemodynamic results.

摘要

经导管主动脉瓣中瓣植入术(VIV)越来越多地被用于成功治疗退化的外科主动脉瓣生物假体(SAV)。新型自膨胀经导管心脏瓣膜Allegra由新瓣膜技术公司生产,具有特殊的植入机制,已证明其对退化SAV患者的安全性和可行性,但从未用于最新一代无缝合SAV。据我们所知,这是首次成功将Allegra假体VIV植入退化的无缝合SAV的描述,该手术产生了优异的介入后血流动力学结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/db63af314033/10-1055-s-0040-1721483-i200378crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/2128ec9bd7b0/10-1055-s-0040-1721483-i200378crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/165883a7dd96/10-1055-s-0040-1721483-i200378crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/db63af314033/10-1055-s-0040-1721483-i200378crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/2128ec9bd7b0/10-1055-s-0040-1721483-i200378crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/165883a7dd96/10-1055-s-0040-1721483-i200378crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/7815337/db63af314033/10-1055-s-0040-1721483-i200378crc-3.jpg

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本文引用的文献

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JACC Cardiovasc Interv. 2020 May 11;13(9):1071-1082. doi: 10.1016/j.jcin.2019.12.026. Epub 2020 Apr 15.
2
Thirty-day outcomes of a novel transcatheter heart valve to treat degenerated surgical valves: the VIVALL multicentre, single-arm, pilot study.治疗退行性外科瓣膜的新型经导管心脏瓣膜的 30 天结果:VIVALL 多中心、单臂、初步研究。
EuroIntervention. 2019 Oct 4;15(9):e757-e763. doi: 10.4244/EIJ-D-19-00331.
3
Transcatheter aortic valve-in-valve implantation in degenerative rapid deployment bioprostheses.
经导管主动脉瓣中瓣植入术治疗退行性速发型生物瓣。
EuroIntervention. 2019 May 20;15(1):37-43. doi: 10.4244/EIJ-D-18-00752.
4
Outcomes of Self-Expanding vs. Balloon-Expandable Transcatheter Heart Valves for the Treatment of Degenerated Aortic Surgical Bioprostheses - A Propensity Score-Matched Comparison.自膨式与球囊扩张式经导管心脏瓣膜治疗退行性主动脉外科生物瓣的结果比较 - 倾向评分匹配比较。
Circ J. 2018 Sep 25;82(10):2655-2662. doi: 10.1253/circj.CJ-18-0157. Epub 2018 Aug 2.
5
The Perceval Sutureless Aortic Valve: Review of Outcomes, Complications, and Future Direction.Perceval无缝合主动脉瓣:结果、并发症及未来方向综述
Innovations (Phila). 2017 May/Jun;12(3):155-173. doi: 10.1097/IMI.0000000000000372.
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1-Year Results in Patients Undergoing Transcatheter Aortic Valve Replacement With Failed Surgical Bioprostheses.经导管主动脉瓣置换术治疗失败的外科生物瓣患者的 1 年结果。
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