Evolut TAVR手术中瓣膜夹闭的策略管理：提高疗效和确保患者安全。

Journal of the Society for Cardiovascular Angiography & Interventions Pub Date : 2024-10-15 eCollection Date: 2024-12-01 DOI:10.1016/j.jscai.2024.102394

Rajendra Shah, Olayiwola Bolaji, Yasemin Bahar, Renu Sah, Anderson Chukwuka Ariaga, Timir K Paul, Rajeev L Narayan, M Chadi Alraies

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引用次数: 0

摘要

经导管主动脉瓣修复（TAVR）是传统手术瓣膜置换术的一种微创替代方法，尽管它本身也存在一些并发症。一种罕见的并发症是自扩张瓣膜的折叠，这可能导致心脏骤停。该并发症的估计发生率为1.6%。这种并发症的处理取决于球囊扩张或瓣膜置换术。本文讨论了一例78岁男性有严重症状性主动脉瓣狭窄的病例。在TAVR后，由于瓣膜内折，患者出现了心脏骤停，这突出了在TAVR并发症管理中需要提高警惕和改进干预策略。

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Strategic Management of Valve Infolding in Evolut TAVR Procedures: Enhancing Outcomes and Ensuring Patient Safety.

Transcatheter aortic valve repair (TAVR) presents a minimally invasive alternative to traditional surgical valve replacement, albeit not without its own set of complications. A rare complication is the infolding of the self-expanding valve, which can precipitate cardiac arrest. The estimated incidence rate of this complication stands at 1.6%. The management of this complication hinges on either balloon dilation or valve replacement. This article discusses a case involving a 78-year-old man with symptomatic severe aortic valve stenosis. Following TAVR, the patient experienced asystole due to valve infolding, highlighting the need for heightened vigilance and refined intervention strategies in the management of TAVR complications.

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来源期刊

Journal of the Society for Cardiovascular Angiography & Interventions Cardiology and Cardiovascular Medicine

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

48 days