经导管主动脉瓣植入术

A. Ng, V. Delgado, J. Bax
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引用次数: 0

摘要

经导管主动脉瓣植入术(Transcatheter aortic valve implantation, TAVI)是一种成熟的治疗方法,适用于有症状的严重主动脉瓣狭窄和手术主动脉瓣置换术禁忌症或有中高手术风险的患者,心脏科认为TAVI是最好的治疗选择。准确的患者选择与多模态成像密切相关,多模态成像主要包括经胸超声心动图和计算机断层扫描的结合。为了指导手术,透视是主要的成像方式。在患者的随访中,经胸超声心动图和计算机断层扫描再次成为主要的成像方式。心血管磁共振和核成像在这方面的作用很小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transcatheter aortic valve implantation
Transcatheter aortic valve implantation (TAVI) is an established therapy for patients with symptomatic severe aortic stenosis and contraindications for surgical aortic valve replacement or with intermediate and high operative risk in whom the heart team considers that TAVI is the best therapeutic option. Accurate patient selection strongly relates on multimodality imaging consisting mostly of the combination of transthoracic echocardiography and computed tomography. To guide the procedure, fluoroscopy is the mainstay imaging modality. In the follow-up of the patients, transthoracic echocardiography and computed tomography are again the main imaging modalities to use. Cardiovascular magnetic resonance and nuclear imaging have a minimal role in this area.
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