Kawamura Ai, Maeda Koichi, Yamashita Kizuku, Shimamura Kazuo, Miyagawa Shigeru
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Gen Thorac Cardiovasc Surg. 2022 Jun;70(6):584-587. doi: 10.1007/s11748-022-01785-8. Epub 2022 Feb 24.
Perioperative stroke is one of the most serious complications after transcatheter aortic valve replacement (TAVR), and it should be especially noted in patients with an atheroma in the ascending aorta. Here, we report the first experience of transfemoral (TF)-TAVR with the insertion of a filter device for two patients with severe aortic stenosis who were incidentally detected a grade 4 atheroma in the ascending aorta preoperatively. The patients had a favorable postoperative course without any cerebrovascular events or procedure-related complications.
围手术期卒中是经导管主动脉瓣置换术（TAVR）后最严重的并发症之一，对于升主动脉存在动脉粥样硬化的患者应格外注意。在此，我们报告了两例严重主动脉瓣狭窄患者经股动脉（TF）-TAVR并植入滤器装置的首例经验，这两名患者术前偶然发现升主动脉有4级动脉粥样硬化。患者术后病程顺利，未发生任何脑血管事件或与手术相关的并发症。
