经食管超声心动图在曾接受生物人工心脏瓣膜主动脉瓣、二尖瓣、三尖瓣和肺动脉瓣置换术的患者经导管瓣中瓣植入中的应用。
Use of transesophageal echocardiography for transcatheter valve-in-valve implantation for patients with prior bioprosthetic surgical aortic, mitral, tricuspid, and pulmonic valves.
作者信息
Bhargava Ankit A, Shekiladze Nikoloz, Xie Joe, Kini Annapoorna, Gleason Patrick T, Lerakis Stamatios
机构信息
Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
Division of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
出版信息
Ann Cardiothorac Surg. 2021 Sep;10(5):605-620. doi: 10.21037/acs-2021-tviv-27.
Abstract
Valve-in-valve (ViV) transcatheter procedures are the preferred option for redo valve replacement in patients who otherwise would be high risk for surgery. Transesophageal echocardiography (TEE) is an integral imaging modality for both peri-procedural and intra-procedural guidance during transcatheter ViV replacement. When intentional leaflet laceration is needed, such as with the BASILICA (Bioprosthetic or native Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstructions during TAVR) or LAMPOON (Laceration of the Anterior Mitral valve leaflet to Prevent left ventricular Outlet ObstructioN) procedures, TEE is critical to proper guidewire positioning and achieving a successful laceration. In this paper we detail the role of TEE in ViV transcatheter valve replacement in patients with prior surgical aortic, mitral, tricuspid, and pulmonic valves.
摘要
瓣中瓣（ViV）经导管手术是那些原本手术风险较高的患者进行再次瓣膜置换的首选方案。经食管超声心动图（TEE）是经导管ViV置换术围手术期和手术过程中不可或缺的成像方式，用于指导手术。当需要进行有意的瓣叶撕裂时，例如在BASILICA（经导管主动脉瓣置换术中为防止医源性冠状动脉阻塞而进行的生物假体或天然主动脉扇形有意撕裂）或LAMPOON（二尖瓣前叶撕裂以预防左心室流出道梗阻）手术中，TEE对于正确引导导丝定位和成功进行撕裂至关重要。在本文中，我们详细阐述了TEE在既往接受过主动脉瓣、二尖瓣、三尖瓣和肺动脉瓣手术的患者进行ViV经导管瓣膜置换术中的作用。
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引用本文的文献
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本文引用的文献
1
Echocardiographic Guidance of Intentional Leaflet Laceration prior to Transcatheter Aortic Valve Replacement: A Structured Approach to the Bioprosthetic or Native Aortic Scallop Intentional Laceration to Prevent Iatrogenic Coronary Artery Obstruction Procedure.经胸超声心动图引导下经导管主动脉瓣置换术前瓣叶切开术：一种预防医源性冠状动脉阻塞的生物瓣或自体主动脉瓣叶切开术的结构性方法。
J Am Soc Echocardiogr. 2021 Jun;34(6):676-689. doi: 10.1016/j.echo.2021.01.015. Epub 2021 Mar 3.
2
Tip-to-Base LAMPOON for Transcatheter Mitral Valve Replacement With a Protected Mitral Annulus.经心尖入路保护性二尖瓣瓣环 MitraClip 经导管二尖瓣置换术
JACC Cardiovasc Interv. 2021 Mar 8;14(5):541-550. doi: 10.1016/j.jcin.2020.11.034. Epub 2021 Mar 1.
3
Transcatheter Mitral Valve Replacement: An Update on Current Techniques, Technologies, and Future Directions.经导管二尖瓣置换术：当前技术、技术的更新及未来方向。
JACC Cardiovasc Interv. 2021 Mar 8;14(5):489-500. doi: 10.1016/j.jcin.2020.12.038. Epub 2021 Mar 1.
4
LAMPOON techniques to prevent or manage left ventricular outflow tract obstruction in transcatheter mitral valve replacement.用于经导管二尖瓣置换术中预防或处理左心室流出道梗阻的嘲讽技术。 （注：这里的“LAMPOON”可能是特定的专业术语或有拼写错误，不太常见，根据现有内容直接翻译。）
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Transcatheter Tricuspid Valve-in-Valve and Valve-in-Ring Implantation for Degenerated Surgical Prosthesis.经导管三尖瓣瓣中瓣和瓣环内植入术治疗退行性外科假体。
JACC Cardiovasc Interv. 2019 Aug 12;12(15):1403-1412. doi: 10.1016/j.jcin.2019.05.029. Epub 2019 Jul 17.
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