用自膨胀阀处理TAVI欠膨胀：一种实用方法。

IF 2.3 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Development and Disease Pub Date : 2025-06-07 DOI:10.3390/jcdd12060215

Rene Hameau, Marco B Ancona, Vittorio Romano, Luca Ferri, Barbara Bellini, Filippo Russo, Ciro Vella, Christos Papageorgiu, Francesca Napoli, Marco Licciardi, Gianluca Ricchetti, Andrea Tripoli, Rocco Sabarese, Lorenzo Zaccaria, Matteo Montorfano

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引用次数: 0

摘要

自我扩张的经导管主动脉瓣（TAVI）扩张不足是一个关键问题，可能会对长期结果产生负面影响，包括瓣旁泄漏、瓣膜血栓形成和死亡率增加。本文对这些并发症的病理生理学和后果进行了全面的综述，包括三种主要机制：(1)折叠，(2)错误的交叉位置和(3)真正的扩张不足。本文还讨论了应对这些挑战的策略，包括程序前规划和程序技术，以确保适当的阀门部署和扩展。缓解这些问题对于改善TAVI患者的近期和长期预后至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Management of TAVI Underexpansion with Self-Expanding Valves: A Practical Approach.

Underexpansion of a self-expanding transcatheter aortic valve (TAVI) is a critical issue that can negatively impact long-term outcomes, including paravalvular leak, valve thrombosis, and increased mortality. This paper provides a comprehensive review of the pathophysiology and consequences of such complications, including three primary mechanisms: (1) infolding, (2) incorrect site of crossing and (3) true underexpansion. It also discusses strategies to address these challenges, including pre-procedural planning and procedural techniques to ensure proper valve deployment and expansion. Mitigating these issues is essential to improving both immediate and long-term outcomes in TAVI patients.

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来源期刊

Journal of Cardiovascular Development and Disease CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.60

自引率

12.50%

发文量

381