Saadi Rodrigo Petersen, Tagliari Ana Paula, Saadi Eduardo Keller, Miglioranza Marcelo Haertel, Polanczyck Carisi Anne
Post Graduate Program in Cardiology and Cardiovascular Science, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre 90410-000, Brazil.
Cardiovascular Surgery Department, Hospital São Lucas da PUC-RS, Porto Alegre 90610-001, Brazil.
J Clin Med. 2022 May 5;11(9):2582. doi: 10.3390/jcm11092582.
Transcatheter aortic valve replacement (TAVR) is a well-established treatment option for patients with severe symptomatic aortic stenosis (AS) whose procedural efficacy and safety have been continuously improving. Appropriate preprocedural planning, including aortic valve annulus measurements, transcatheter heart valve choice, and possible procedural complication anticipation is mandatory to a successful procedure. The gold standard for preoperative planning is still to perform a multi-detector computed angiotomography (MDCT), which provides all the information required. Nonetheless, 3D echocardiography and magnet resonance imaging (MRI) are great alternatives for some patients. In this article, we provide an updated comprehensive review, focusing on preoperative TAVR planning and the standard steps required to do it properly.
经导管主动脉瓣置换术（TAVR）是治疗有症状的严重主动脉瓣狭窄（AS）患者的一种成熟治疗选择，其手术疗效和安全性一直在不断提高。适当的术前规划，包括主动脉瓣环测量、经导管心脏瓣膜选择以及对可能的手术并发症的预判，对于手术成功至关重要。术前规划的金标准仍然是进行多排螺旋计算机断层血管造影（MDCT），它能提供所需的所有信息。尽管如此，对于一些患者来说，三维超声心动图和磁共振成像（MRI）是很好的替代方法。在本文中，我们提供了一份最新的全面综述，重点关注TAVR术前规划以及正确进行规划所需的标准步骤。
