重度钙化双尖瓣经导管主动脉瓣置换术中使用自膨胀假体后出现严重急性反冲。

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Artemio García-Escobar, Santiago Jiménez-Valero, Guillermo Galeote, Alfonso Jurado-Román, José Ángel Cabrera, Raúl Moreno
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引用次数: 0

摘要

主动脉瓣二尖瓣(BAV)是最常见的先天性瓣膜性心脏病之一,在普通人群中的发病率为 0.5-2%,在重度主动脉瓣狭窄(AS)患者中的发病率为 2-6%,在接受手术的八十岁/非老年人中的发病率高达 20%。在这方面,经导管主动脉瓣置换术(TAVR)已成为一种替代治疗方法。目前,还没有足够的证据来确定哪种是治疗 BAV AS 的最佳方法。我们报告了一例严重钙化的 BAV 使用自膨胀假体进行 TAVR 后发生严重急性反跳的病例。此外,我们还对假体中期扩张不足的临床意义进行了最新回顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Severe acute recoil following transcatheter aortic valve replacement with a self-expanding prosthesis in a heavily calcified bicuspid aortic valve.

Bicuspid aortic valve (BAV) is one of the most common congenital valvular heart diseases occurring in 0.5-2% of the general population, in 2-6% of patients with severe aortic stenosis (AS) and up to 20% of octo/nonagenarians undergoing surgery. In this regard, Transcatheter aortic valve replacement (TAVR) has emerged as a therapeutic alternative. At the present time, there is not enough evidence to determine which is the best therapeutic approach for AS in BAV. We report a severe acute recoil following TAVR with a self-expanding prosthesis in heavily calcified BAV. In addition, we provide an updated review of the clinical significance of prosthesis underexpansion in the medium-term.

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来源期刊
Future cardiology
Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.80
自引率
5.90%
发文量
87
期刊介绍: Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.
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