Sawaya Fadi J, Bajoras Vilhelmas, Vanhaverbeke Maarten, Wang Christina, Bieliauskas Gintautas, Søndergaard Lars, De Backer Ole
The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Department of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon.
Front Cardiovasc Med. 2021 Sep 22;8:739750. doi: 10.3389/fcvm.2021.739750. eCollection 2021.
Transcatheter aortic valve implantation (TAVI) is currently an established therapy for elderly patients with symptomatic severe aortic valve stenosis across all surgical risk categories. Access is an important aspect when planning for and performing TAVI. The superiority of a transfemoral (TF) approach compared to a transthoracic (transapical, direct aortic) approach has been demonstrated in several studies. Recently, the introduction of intravascular lithotripsy (IVL) has made it possible to treat patients with calcified iliofemoral disease by TF approach. This article aimed to provide a comprehensive overview on the following aspects: (1) preprocedural planning for IVL-assisted TF-TAVI; (2) procedural aspects in IVL-assisted TF-TAVI; (3) outcomes of IVL-assisted TF-TAVI in an experienced TAVI center; and (4) literature review and discussion of this new emerging approach.
经导管主动脉瓣植入术（TAVI）目前是针对所有手术风险类别的有症状重度主动脉瓣狭窄老年患者的既定治疗方法。在规划和实施TAVI时，入路是一个重要方面。多项研究已证明经股动脉（TF）入路相较于经胸（经心尖、直接主动脉）入路具有优越性。最近，血管内碎石术（IVL）的引入使得通过TF入路治疗合并钙化性髂股病变的患者成为可能。本文旨在对以下方面进行全面概述：（1）IVL辅助TF-TAVI的术前规划；（2）IVL辅助TF-TAVI的手术操作方面；（3）在经验丰富的TAVI中心进行IVL辅助TF-TAVI的结果；以及（4）对这种新兴方法的文献综述与讨论。
Zotero 插件
