大多数低风险患者可以接受经导管主动脉瓣置换术:文献的系统回顾。

IF 4.2 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiac Failure Review Pub Date : 2024-09-13 eCollection Date: 2024-01-01 DOI:10.15420/cfr.2023.23
Ahmad Jabri, Anas Alameh, Gennaro Giustino, Pedro Engel Gonzalez, Brian O'Neill, Rodrigo Bagur, Pedro Cox, Tiberio Frisoli, James Lee, Dee Dee Wang, William W O'Neill, Pedro Villablanca
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引用次数: 0

摘要

经导管主动脉瓣置换术(TAVR)发展迅速,已成为低风险患者替代外科主动脉瓣置换术的可行治疗方案。本文旨在回顾有关低风险患者 TAVR 的科学证据,包括观察性数据和临床试验数据。此外,相当一部分低风险患者拥有双尖瓣主动脉瓣,因此有必要仔细研究本综述中强调的 TAVR 的相关解剖和临床注意事项。此外,本综述还阐述了在对低风险患者进行 TAVR 评估时,与替代入路相关的一些独特挑战。最后,本综述概述了多学科心脏团队方法在执行所有 TAVR 手术中的关键作用,以及作者将 "极简 TAVR "视为低风险 TAVR 新时代的愿景。
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 Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature.

Transcatheter aortic valve replacement (TAVR) has undergone rapid expansion, emerging as a viable therapeutic option for low-risk patients in lieu of surgical aortic valve replacement. This paper aims to provide a review of the scientific evidence concerning TAVR in low-risk patients, encompassing both observational and clinical trial data. Furthermore, a substantial proportion of low-risk patients possesses a bicuspid aortic valve, necessitating careful examination of the pertinent anatomic and clinical considerations to TAVR that is highlighted in this review. Additionally, the review expands upon some of the unique challenges associated with alternate access in low-risk patients evaluated for TAVR. Last, this review outlines the pivotal role of a multidisciplinary heart team approach in the execution of all TAVR procedures and the authors' vision of 'minimalist TAVR' as a new era in low-risk TAVR.

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来源期刊
CiteScore
5.60
自引率
0.00%
发文量
31
审稿时长
9 weeks
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