经导管主动脉瓣植入术中瓣叶对合的发生率、影响及技术：综述
The Incidence, Impact, and Techniques of Commissural Alignment in Transcatheter Aortic Valve Implantation: A Review.
作者信息
Paredes-Vazquez Jose G, Tirado-Conte Gabriela, Shabbir Asad, Mon-Noboa Matias, Chavez Jorge F, Nuñez-Gil Ivan, Jimenez-Quevedo Pilar, Pozo-Osinalde Eduardo, Gomez de Diego Jose Juan, Salinas Pablo, Mejia-Renteria Hernan, Macaya Fernando, de Agustin-Loeches Jose Alberto, Gonzalo Nieves, Escaned Javier, Fernandez-Ortiz Antonio, Nombela-Franco Luis
机构信息
Cardiovascular Institute, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain.
出版信息
J Clin Med. 2023 Nov 28;12(23):7369. doi: 10.3390/jcm12237369.
In current clinical practice, commissural alignment of the transcatheter heart valve (THV) during transcatheter aortic valve implantation (TAVI) is seldom achieved. Orientation of the THV within the aortic root and the subsequent influence upon leaflet haemodynamic function, coronary blood flow, and ease of access to the coronary ostia are gaining significant interest. Herein, we review the incidence and clinical implications of commissural misalignment in TAVI and offer thorough descriptions of how optimal alignment can be achieved with several different contemporary THV devices.
在当前的临床实践中，经导管主动脉瓣植入术（TAVI）期间经导管心脏瓣膜（THV）的瓣叶对合很少能够实现。THV在主动脉根部的定位以及对瓣叶血流动力学功能、冠状动脉血流和进入冠状动脉开口难易程度的后续影响正引起人们的极大兴趣。在此，我们回顾了TAVI中瓣叶对合不良的发生率及其临床意义，并详细描述了如何使用几种不同的当代THV装置实现最佳对合。
Zotero 插件