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经导管主动脉瓣植入术治疗主动脉瓣反流患者的应变评估：病例系列

Strain assessment in patients with aortic regurgitation undergoing transcatheter aortic valve implantation: case series.

作者信息

Bartkowiak Joanna, Agarwal Vratika, Lebehn Mark, Nazif Tamim M, George Isaac, Kodali Susheel K, Vahl Torsten P, Hahn Rebecca T

机构信息

Department of Medicine, The NewYork-Presbyterian/Columbia University Irving Medical Center, 177 Fort Washington Avenue, New York 10032, USA.

Graduate School for Health Sciences, University of Bern, Bern, Switzerland.

出版信息

Eur Heart J Case Rep. 2024 Jul 5;8(8):ytae261. doi: 10.1093/ehjcr/ytae261. eCollection 2024 Aug.

DOI:10.1093/ehjcr/ytae261
PMID:39113778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11303856/
Abstract

BACKGROUND

Limited data exist on strain changes after transcatheter aortic valve implantation (TAVI) in patients with aortic regurgitation (AR).

CASE SUMMARY

Three patients with AR undergoing TAVI showed an initial reduction in global longitudinal strain (GLS), followed by sustained GLS improvement within the first year.

DISCUSSION

Findings align with those of surgically treated patients with AR. There is a possible superiority of GLS to left ventricular end-diastolic diameter ratio in assessing patients with severe volume overload.

摘要

背景

关于经导管主动脉瓣植入术（TAVI）治疗主动脉瓣反流（AR）患者后应变变化的数据有限。

病例总结

3例接受TAVI治疗的AR患者最初表现为整体纵向应变（GLS）降低，随后在第一年期间GLS持续改善。

讨论

这些发现与接受手术治疗的AR患者的发现一致。在评估严重容量超负荷患者时，GLS可能优于左心室舒张末期直径比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/a275801f3163/ytae261f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/61e4283db7a6/ytae261f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/90e313eeb739/ytae261il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/2a6cd517ff9c/ytae261f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/a275801f3163/ytae261f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/61e4283db7a6/ytae261f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/90e313eeb739/ytae261il2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/2a6cd517ff9c/ytae261f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc5a/11303856/a275801f3163/ytae261f3.jpg

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本文引用的文献

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Transcatheter aortic valve implantation in patients with high-risk symptomatic native aortic regurgitation (ALIGN-AR): a prospective, multicentre, single-arm study.经导管主动脉瓣植入术治疗高危症状性原发性主动脉瓣反流（ALIGN-AR）：一项前瞻性、多中心、单臂研究。
Lancet. 2024 Apr 13;403(10435):1451-1459. doi: 10.1016/S0140-6736(23)02806-4. Epub 2024 Mar 26.
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Transcatheter Treatment of Native Aortic Valve Regurgitation: The North American Experience With a Novel Device.经导管治疗原发性主动脉瓣反流：新型装置的北美经验。
JACC Cardiovasc Interv. 2023 Aug 28;16(16):1953-1960. doi: 10.1016/j.jcin.2023.05.018. Epub 2023 May 17.
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Global longitudinal strain in chronic asymptomatic aortic regurgitation: systematic review.
慢性无症状主动脉瓣反流患者的整体纵向应变：系统评价
Echo Res Pract. 2020 Sep;7(3):39-48. doi: 10.1530/ERP-20-0024. Epub 2020 Sep 1.
4
Automated Global Longitudinal Strain Exhibits a Robust Association with Death in Asymptomatic Chronic Aortic Regurgitation.自动化全容积应变与无症状慢性主动脉瓣反流患者的死亡具有强相关性。
J Am Soc Echocardiogr. 2022 Jul;35(7):692-702.e8. doi: 10.1016/j.echo.2021.10.018. Epub 2022 Mar 25.
5
Left ventricle reverse remodeling in chronic aortic regurgitation patients with dilated ventricle after aortic valve replacement.主动脉瓣置换术后左心室扩张的慢性主动脉瓣反流患者的左心室逆重构。
J Cardiothorac Surg. 2022 Jan 16;17(1):8. doi: 10.1186/s13019-022-01754-5.
6
The JenaValve pericardial transcatheter aortic valve replacement system to treat aortic valve disease.用于治疗主动脉瓣疾病的耶拿瓣膜心包经导管主动脉瓣置换系统。
Future Cardiol. 2022 Feb;18(2):101-113. doi: 10.2217/fca-2021-0065. Epub 2021 Oct 14.
7
Left ventricular global strains by linear measurements in three dimensions: interrelations and relations to age, gender and body size in the HUNT Study.三维线性测量的左心室整体应变：HUNT 研究中与年龄、性别和体型的相互关系。
Open Heart. 2019 Sep 26;6(2):e001050. doi: 10.1136/openhrt-2019-001050. eCollection 2019.
8
2- and 3-Dimensional Myocardial Strain in Cardiac Health and Disease.二维和三维心肌应变在心脏健康和疾病中的应用。
JACC Cardiovasc Imaging. 2019 Sep;12(9):1849-1863. doi: 10.1016/j.jcmg.2019.01.044.
9
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Eur Heart J Cardiovasc Imaging. 2019 Oct 1;20(10):1105-1111. doi: 10.1093/ehjci/jez049.
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