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探索高音谱号主动脉:经股动脉经导管主动脉瓣置换术面临的挑战——病例报告

Navigating Treble Clef Aorta: A Challenge for Transfemoral Transcatheter Aortic Valve Replacement-A Case Report.

作者信息

Anwar Helen S, Montero-Cabezas José M, Van Der Kley Frank

机构信息

Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands.

Department of Cardiovascular Medicine, Assiut University Heart Hospital, Assiut University, Assiut, Egypt.

出版信息

J Soc Cardiovasc Angiogr Interv. 2024 Dec 31;4(2):102492. doi: 10.1016/j.jscai.2024.102492. eCollection 2025 Feb.

Abstract

Transcatheter aortic valve replacement (TAVR) has emerged as a widely approved intervention for managing severe aortic stenosis. As the number of patients undergoing TAVR continues to rise, certain cases present unique challenges, particularly in relation to vascular access. This report highlights a case of successful transfemoral TAVR performed in a patient with an exceptionally tortuous and elongated aortic arch, characterized by significant curvature reminiscent of the treble clef musical symbol.

摘要

经导管主动脉瓣置换术(TAVR)已成为治疗严重主动脉瓣狭窄的一种广泛认可的干预措施。随着接受TAVR的患者数量持续增加,某些病例出现了独特的挑战,尤其是在血管通路方面。本报告重点介绍了一例在主动脉弓异常迂曲且延长的患者中成功进行经股动脉TAVR的病例,其特征为显著的弯曲,类似高音谱号的音乐符号。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/483e/11916793/eb9cadd39d23/gr1.jpg

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