SCAI专家共识声明:经导管主动脉瓣置换术的替代通道

Matthew Sherwood MD, MHS, FSCAI , Keith B. Allen MD , Thom G. Dahle MD, FSCAI , Chandan M. Devireddy MD, FSCAI , Jeffrey Gaca MD , Santiago Garcia MD, FSCAI , Kendra J. Grubb MD, MHA , Tsuyoshi Kaneko MD , Chad A. Kliger MD, FSCAI , Robert J. Lederman MD , John C. Messenger MD, FSCAI , Puja B. Parikh MD, MPH, FSCAI , Marie-France Poulin MD, FSCAI , Carlos Sanchez MD, FSCAI , Anene Ukaigwe MD, FSCAI , James J. Yun MD , Paul D. Mahoney MD, FSCAI
{"title":"SCAI专家共识声明:经导管主动脉瓣置换术的替代通道","authors":"Matthew Sherwood MD, MHS, FSCAI ,&nbsp;Keith B. Allen MD ,&nbsp;Thom G. Dahle MD, FSCAI ,&nbsp;Chandan M. Devireddy MD, FSCAI ,&nbsp;Jeffrey Gaca MD ,&nbsp;Santiago Garcia MD, FSCAI ,&nbsp;Kendra J. Grubb MD, MHA ,&nbsp;Tsuyoshi Kaneko MD ,&nbsp;Chad A. Kliger MD, FSCAI ,&nbsp;Robert J. Lederman MD ,&nbsp;John C. Messenger MD, FSCAI ,&nbsp;Puja B. Parikh MD, MPH, FSCAI ,&nbsp;Marie-France Poulin MD, FSCAI ,&nbsp;Carlos Sanchez MD, FSCAI ,&nbsp;Anene Ukaigwe MD, FSCAI ,&nbsp;James J. Yun MD ,&nbsp;Paul D. Mahoney MD, FSCAI","doi":"10.1016/j.jscai.2024.102514","DOIUrl":null,"url":null,"abstract":"<div><div>Transcatheter aortic valve replacement (TAVR) has become a widely accepted procedure for treating patients with symptomatic aortic stenosis. While transfemoral access remains the primary route due to its lower complication rates and favorable outcomes, a subset of patients have anatomical or clinical factors precluding this approach. For these patients, alternative access routes such as transaxillary, transcarotid, and transcaval provide viable options. This expert consensus statement aims to provide a comprehensive review of case selection, technical considerations, and outcomes associated with these alternative access routes in TAVR. Additionally, this document highlights the advancements in device technology and imaging guidance that have contributed to improving the safety and efficacy of alternative access TAVR. This consensus statement serves as a practical guide on best practices for interventional cardiologists, cardiothoracic surgeons, and heart teams in selecting patients and performing alternative access TAVR.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102514"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"SCAI Expert Consensus Statement on Alternative Access for Transcatheter Aortic Valve Replacement\",\"authors\":\"Matthew Sherwood MD, MHS, FSCAI ,&nbsp;Keith B. Allen MD ,&nbsp;Thom G. Dahle MD, FSCAI ,&nbsp;Chandan M. Devireddy MD, FSCAI ,&nbsp;Jeffrey Gaca MD ,&nbsp;Santiago Garcia MD, FSCAI ,&nbsp;Kendra J. Grubb MD, MHA ,&nbsp;Tsuyoshi Kaneko MD ,&nbsp;Chad A. Kliger MD, FSCAI ,&nbsp;Robert J. Lederman MD ,&nbsp;John C. Messenger MD, FSCAI ,&nbsp;Puja B. Parikh MD, MPH, FSCAI ,&nbsp;Marie-France Poulin MD, FSCAI ,&nbsp;Carlos Sanchez MD, FSCAI ,&nbsp;Anene Ukaigwe MD, FSCAI ,&nbsp;James J. Yun MD ,&nbsp;Paul D. Mahoney MD, FSCAI\",\"doi\":\"10.1016/j.jscai.2024.102514\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Transcatheter aortic valve replacement (TAVR) has become a widely accepted procedure for treating patients with symptomatic aortic stenosis. While transfemoral access remains the primary route due to its lower complication rates and favorable outcomes, a subset of patients have anatomical or clinical factors precluding this approach. For these patients, alternative access routes such as transaxillary, transcarotid, and transcaval provide viable options. This expert consensus statement aims to provide a comprehensive review of case selection, technical considerations, and outcomes associated with these alternative access routes in TAVR. Additionally, this document highlights the advancements in device technology and imaging guidance that have contributed to improving the safety and efficacy of alternative access TAVR. This consensus statement serves as a practical guide on best practices for interventional cardiologists, cardiothoracic surgeons, and heart teams in selecting patients and performing alternative access TAVR.</div></div>\",\"PeriodicalId\":73990,\"journal\":{\"name\":\"Journal of the Society for Cardiovascular Angiography & Interventions\",\"volume\":\"4 3\",\"pages\":\"Article 102514\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the Society for Cardiovascular Angiography & Interventions\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772930324022038\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Society for Cardiovascular Angiography & Interventions","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772930324022038","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

经导管主动脉瓣置换术(TAVR)已成为一种广泛接受的治疗症状性主动脉瓣狭窄的方法。虽然经股入路仍是主要的入路,因为其并发症发生率较低且预后良好,但一小部分患者由于解剖或临床因素而无法采用该入路。对于这些患者,经腋窝、经颈动脉和经下腔等其他通路提供了可行的选择。本专家共识声明旨在全面审查TAVR中病例选择、技术考虑和与这些替代获取途径相关的结果。此外,本文件强调了设备技术和成像指导方面的进步,这些进步有助于提高TAVR替代通路的安全性和有效性。这一共识声明可作为介入心脏病专家、心胸外科医生和心脏团队在选择患者和实施其他途径TAVR时的最佳实践指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SCAI Expert Consensus Statement on Alternative Access for Transcatheter Aortic Valve Replacement
Transcatheter aortic valve replacement (TAVR) has become a widely accepted procedure for treating patients with symptomatic aortic stenosis. While transfemoral access remains the primary route due to its lower complication rates and favorable outcomes, a subset of patients have anatomical or clinical factors precluding this approach. For these patients, alternative access routes such as transaxillary, transcarotid, and transcaval provide viable options. This expert consensus statement aims to provide a comprehensive review of case selection, technical considerations, and outcomes associated with these alternative access routes in TAVR. Additionally, this document highlights the advancements in device technology and imaging guidance that have contributed to improving the safety and efficacy of alternative access TAVR. This consensus statement serves as a practical guide on best practices for interventional cardiologists, cardiothoracic surgeons, and heart teams in selecting patients and performing alternative access TAVR.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.40
自引率
0.00%
发文量
0
审稿时长
48 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信