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经导管心脏瓣膜置换术的现有假体:技术与临床综述

Current Prostheses for Transcatheter Heart Valve Replacement: A Technical and Clinical Review.

作者信息

Rudziński Piotr Nikodem, Mach Markus, Gross Christoph, Russo Marco, Werner Paul, Coti Iuliana, Scherzer Sabine, Andreas Martin

机构信息

Department of Coronary and Structural Heart Diseases, National Institute of Cardiology, 04-628 Warsaw, Poland.

Department of Cardiac Surgery, Medical University of Vienna, 1090 Vienna, Austria.

出版信息

Rev Cardiovasc Med. 2022 Jul 20;23(8):257. doi: 10.31083/j.rcm2308257. eCollection 2022 Aug.

Abstract

Transcatheter aortic valve replacement (TAVR) has become a cornerstone in today's treatment of aortic stenosis. Modern transcatheter prostheses are continuously evolving and each one features different design traits. In this review, the authors provide insight in the technical differences of current prostheses and TAVR related clinical decision pathways, preferably useful for the beginners but also for advanced operators. Additionally, procedural considerations and comparative outcomes of the prostheses are discussed. In doing so, the authors aim to facilitate the choice of the ideal transcatheter valve procedure for each individual.

摘要

经导管主动脉瓣置换术(TAVR)已成为当今治疗主动脉瓣狭窄的基石。现代经导管人工瓣膜不断发展,每个都具有不同的设计特点。在本综述中,作者深入探讨了当前人工瓣膜的技术差异以及与TAVR相关的临床决策路径,这不仅对初学者有用,对经验丰富的操作者也有帮助。此外,还讨论了手术注意事项和人工瓣膜的比较结果。通过这样做,作者旨在为每个个体选择理想的经导管瓣膜手术提供便利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a4c/11266972/e4fd107ab0fe/2153-8174-23-8-257-g1.jpg

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