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经导管主动脉瓣植入术患者的假体定制

Prosthesis Tailoring for Patients Undergoing Transcatheter Aortic Valve Implantation.

作者信息

Leone Pier Pasquale, Scotti Andrea, Ho Edwin C, Assafin Manaf, Doolittle James, Chau Mei, Slipczuk Leandro, Levitus Matthew, Regazzoli Damiano, Mangieri Antonio, Latib Azeem

机构信息

Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy.

出版信息

J Clin Med. 2023 Jan 1;12(1):338. doi: 10.3390/jcm12010338.

Abstract

Transcatheter aortic valve implantation (TAVI) has risen over the past 20 years as a safe and effective alternative to surgical aortic valve replacement for treatment of severe aortic stenosis, and is now a well-established and recommended treatment option in suitable patients irrespective of predicted risk of mortality after surgery. Studies of numerous devices, either newly developed or reiterations of previous prostheses, have been accruing. We hereby review TAVI devices, with a focus on commercially available options, and aim to present a guide for prosthesis tailoring according to patient-related anatomical and clinical factors that may favor particular designs.

摘要

经导管主动脉瓣植入术(TAVI)在过去20年中已发展成为治疗严重主动脉瓣狭窄的一种安全有效的替代外科主动脉瓣置换术的方法,并且现在对于合适的患者而言,无论手术预测死亡率如何,它都是一种成熟且推荐的治疗选择。对众多器械的研究不断涌现,这些器械或是新研发的,或是先前假体的改进版本。我们在此回顾TAVI器械,重点关注市售产品,并旨在根据可能有利于特定设计的患者相关解剖学和临床因素,提供一份假体选择指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/256c/9821207/4ed7ad12d6ee/jcm-12-00338-g001.jpg

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