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经导管主动脉瓣植入术(TAVI)对左心室质量、容积和压力的影响:单中心超声心动图分析

Impact of Transcatheter Aortic Valve Implantation (TAVI) on Left Ventricular Mass, Volumes, and Pressure. A Single-center Echocardiographic Analysis.

作者信息

Alshammari Fouad T, Alonazi Afrah A, Almutairi Mohammed D, Majrashi Khaled A, Almutairi Atheer M, Shah Muhammad A

机构信息

Adult Cardiology, King Salman Heart Center, King Fahed Medical City, Riyadh, Saudi Arabia.

Family Medicine, King Fahed Medical City, Riyadh, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2025 May 18;37(2):12. doi: 10.37616/2212-5043.1435. eCollection 2025.

DOI:10.37616/2212-5043.1435
PMID:40458661
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129462/
Abstract

BACKGROUND

Transcatheter aortic valve implantation (TAVI) is an alternative treatment for surgically high-risk patients with severe aortic stenosis (AS). This study aimed to assess the echocardiographic outcomes of TAVI in patients with severe AS, focusing on left ventricular mass, volume, and pressure.

METHODS

This retrospective, registry-based, single-center study was conducted at King Salman Heart Center, Riyadh, Saudi Arabia. We included 200 adult patients who underwent the TAVI procedure and completed at least one year of clinical and echocardiographic follow-up. Baseline demographic, clinical, and echocardiographic data were collected and paired pre- and post-procedure echocardiographic measurements were analyzed.

RESULT

Paired analysis in comparison of pre and post-transcatheter aortic valve implantation (TAVI) shows significant improvement in left ventricular (LV) mass, volume, and pressure.

CONCLUSION

This study demonstrates that transcatheter aortic valve implantation (TAVI) leads to significant improvement in key echocardiographic parameters such as left ventricular (LV) size, functions, mass, and ejection fractions (EF).

摘要

背景

经导管主动脉瓣植入术(TAVI)是外科手术高危的重度主动脉瓣狭窄(AS)患者的一种替代治疗方法。本研究旨在评估TAVI治疗重度AS患者的超声心动图结果,重点关注左心室质量、容积和压力。

方法

本回顾性、基于注册登记的单中心研究在沙特阿拉伯利雅得的国王萨勒曼心脏中心进行。我们纳入了200例接受TAVI手术并完成至少一年临床和超声心动图随访的成年患者。收集了基线人口统计学、临床和超声心动图数据,并分析了术前和术后配对的超声心动图测量值。

结果

经导管主动脉瓣植入术(TAVI)前后的配对分析显示左心室(LV)质量、容积和压力有显著改善。

结论

本研究表明,经导管主动脉瓣植入术(TAVI)可使左心室(LV)大小、功能、质量和射血分数(EF)等关键超声心动图参数得到显著改善。

相似文献

1
Impact of Transcatheter Aortic Valve Implantation (TAVI) on Left Ventricular Mass, Volumes, and Pressure. A Single-center Echocardiographic Analysis.经导管主动脉瓣植入术(TAVI)对左心室质量、容积和压力的影响:单中心超声心动图分析
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本文引用的文献

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[Left ventricular remodeling following transcatheter versus surgical aortic valve replacement: a speckle tracking study].经导管与外科主动脉瓣置换术后左心室重构:一项斑点追踪研究
REC Interv Cardiol. 2024 Jul 9;6(3):191-200. doi: 10.24875/RECIC.M24000470. eCollection 2024 Jul-Sep.
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Reversibility of Cardiac Function Predicts Outcome After Transcatheter Aortic Valve Replacement in Patients With Severe Aortic Stenosis.心脏功能的可逆性可预测严重主动脉瓣狭窄患者经导管主动脉瓣置换术后的结局。
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Left ventricular functional recovery and remodeling in low-flow low-gradient severe aortic stenosis after transcatheter aortic valve implantation.经导管主动脉瓣植入术后低流量低跨瓣压差重度主动脉瓣狭窄患者的左心室功能恢复与重塑
J Am Soc Echocardiogr. 2014 Aug;27(8):817-25. doi: 10.1016/j.echo.2014.04.021. Epub 2014 Jun 3.
7
Aortic stenosis in the elderly: disease prevalence and number of candidates for transcatheter aortic valve replacement: a meta-analysis and modeling study.老年人主动脉瓣狭窄:经导管主动脉瓣置换术候选人群的疾病患病率:一项荟萃分析和建模研究。
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Improvement of left ventricular longitudinal systolic function after transcatheter aortic valve implantation: a speckle-tracking prospective study.经导管主动脉瓣植入术后左心室纵向收缩功能的改善:一项斑点追踪前瞻性研究。
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