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老年患者经导管主动脉瓣置换术:机遇与挑战

Transcatheter Aortic Valve Replacement in Elderly Patients: Opportunities and Challenges.

作者信息

Huang Bing, Yan Hui, Li Yunyao, Zhou Qiping, Abudoureyimu Ayipali, Cao Guiqiu, Jiang Hong

机构信息

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China.

Cardiovascular Research Institute, Wuhan University, Wuhan 430060, China.

出版信息

J Cardiovasc Dev Dis. 2023 Jun 29;10(7):279. doi: 10.3390/jcdd10070279.

DOI:10.3390/jcdd10070279
PMID:37504535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10380827/
Abstract

Over the past two decades, the rapid evolution of transcatheter aortic valve replacement (TAVR) has revolutionized the management of severe aortic stenosis (AS) in the elderly. The prevalence of comorbidities in elderly AS patients presents a considerable challenge to the effectiveness and prognosis of patients after TAVR. In this article, we aim to summarize some of the clinical aspects of the current use of TAVR in elderly patients and attempt to highlight the challenges and issues that need further consideration.

摘要

在过去二十年中,经导管主动脉瓣置换术(TAVR)的迅速发展彻底改变了老年重度主动脉瓣狭窄(AS)的治疗方式。老年AS患者中合并症的流行对TAVR术后患者的疗效和预后构成了相当大的挑战。在本文中,我们旨在总结目前TAVR在老年患者中应用的一些临床情况,并试图强调需要进一步考虑的挑战和问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdf/10380827/54a8851ea801/jcdd-10-00279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdf/10380827/54a8851ea801/jcdd-10-00279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbdf/10380827/54a8851ea801/jcdd-10-00279-g001.jpg

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本文引用的文献

1
Stroke prevention during and after transcatheter aortic valve implantation: From cerebral protection devices to antithrombotic management.经导管主动脉瓣植入术中及术后的卒中预防:从脑保护装置到抗栓管理。
Front Cardiovasc Med. 2022 Oct 17;9:958732. doi: 10.3389/fcvm.2022.958732. eCollection 2022.
2
Combined transcatheter aortic valve replacement and left atrial appendage occlusion in patients ineligible for oral anticoagulation: A case series.经导管主动脉瓣置换术与左心耳封堵术联合应用于不宜口服抗凝治疗的患者:病例系列
J Cardiol Cases. 2022 May 25;26(3):181-185. doi: 10.1016/j.jccase.2022.04.008. eCollection 2022 Sep.
3
Transcatheter aortic valve implantation outcomes in patients with low flow low gradient aortic stenosis.
低流量低跨瓣压差主动脉瓣狭窄患者经导管主动脉瓣植入术的结果
Rev Port Cardiol. 2022 Aug;41(8):621-631. doi: 10.1016/j.repc.2022.03.002. Epub 2022 Jun 22.
4
Clinical Outcomes of Revascularization with Percutaneous Coronary Intervention Prior to Transcatheter Aortic Valve Replacement: A Comprehensive Meta-Analysis.经皮冠状动脉介入治疗在前瞻性经导管主动脉瓣置换术之前的临床转归:一项全面的荟萃分析。
Curr Probl Cardiol. 2022 Nov;47(11):101339. doi: 10.1016/j.cpcardiol.2022.101339. Epub 2022 Jul 29.
5
Safety and performance of a novel cerebral embolic protection device for transcatheter aortic valve implantation: the PROTEMBO C Trial.新型经导管主动脉瓣植入术脑保护装置的安全性和性能:PROTEMBO C 试验。
EuroIntervention. 2022 Sep 20;18(7):590-597. doi: 10.4244/EIJ-D-22-00238.
6
Apixaban vs. standard of care after transcatheter aortic valve implantation: the ATLANTIS trial.阿哌沙班与经导管主动脉瓣置换术后标准治疗的比较:ATLANTIS 试验。
Eur Heart J. 2022 Aug 1;43(29):2783-2797. doi: 10.1093/eurheartj/ehac242.
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Clin Cardiol. 2022 Apr;45(4):401-406. doi: 10.1002/clc.23793. Epub 2022 Feb 22.
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JACC Cardiovasc Interv. 2021 Dec 27;14(24):2723-2732. doi: 10.1016/j.jcin.2021.09.003.
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JACC Cardiovasc Interv. 2021 Sep 27;14(18):1965-1974. doi: 10.1016/j.jcin.2021.06.041.