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结构性心脏病介入治疗后的抗栓治疗:现状与未来方向

Antithrombotic Therapy Following Structural Heart Disease Interventions: Current Status and Future Directions.

作者信息

Mitsis Andreas, Kyriakou Michaela, Christodoulou Evi, Sakellaropoulos Stefanos, Avraamides Panayiotis

机构信息

Cardiology Department, Nicosia General Hospital, 2029 Nicosia, Cyprus.

Cardiology Department, Limassol General Hospital, 3304 Nicosia, Cyprus.

出版信息

Rev Cardiovasc Med. 2024 Feb 5;25(2):60. doi: 10.31083/j.rcm2502060. eCollection 2024 Feb.

Abstract

Interventions in structural heart disease cover many catheter-based procedures for congenital and acquired conditions including valvular diseases, septal defects, arterial or venous obstructions, and fistulas. Among the available procedures, the most common are aortic valve implantation, mitral or tricuspid valve repair/implantation, left atrial appendage occlusion, and patent foramen ovale closure. Antithrombotic therapy for transcatheter structural heart disease interventions aims to prevent thromboembolic events and reduce the risk of short-term and long-term complications. The specific approach to antithrombotic therapy depends on the type of intervention and individual patient factors. In this review, we synopsize contemporary evidence on antithrombotic therapies for structural heart disease interventions and highlight the importance of a personalized approach. These recommendations may evolve over time as new evidence emerges and clinical guidelines are updated. Therefore, it's crucial for healthcare professionals to stay updated on the most recent guidelines and individualize therapy based on patient-specific factors and procedural considerations.

摘要

结构性心脏病的干预措施涵盖了许多基于导管的先天性和后天性疾病治疗方法,包括瓣膜疾病、间隔缺损、动静脉阻塞和瘘管。在现有的治疗方法中,最常见的是主动脉瓣植入、二尖瓣或三尖瓣修复/植入、左心耳封堵和卵圆孔未闭封堵。经导管结构性心脏病干预的抗栓治疗旨在预防血栓栓塞事件,并降低短期和长期并发症的风险。抗栓治疗的具体方法取决于干预类型和个体患者因素。在本综述中,我们总结了结构性心脏病干预抗栓治疗的当代证据,并强调个性化方法的重要性。随着新证据的出现和临床指南的更新,这些建议可能会随时间而演变。因此,医疗保健专业人员及时了解最新指南并根据患者特定因素和手术考虑因素进行个体化治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b0a/11263181/89c0be154eb6/2153-8174-25-2-060-g1.jpg

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