过去,现在和未来。在世界上第一例血管内主动脉瓣植入20周年之际

M. Stan, A. Khokhlov, O. Zelenchuk, B. Todurov, N. Ponych, M.B. Todurov, Kh.M. Monastyrska, M.Ya. Slyubyk, Ya.A. Antoniuk
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引用次数: 0

摘要

2022年是世界心脏病学发展的特殊年份:庆祝两个重要事件,即1977年9月由Andreas Gruentzig(瑞士)实施的第一例经皮血管成形术40周年,以及人类首次成功经导管主动脉瓣植入术(TAVI) 20周年。毫无疑问,这两项技术改变了几十年来心血管医学领域的发展。作为最常见的获得性心脏病,主动脉瓣狭窄的蔓延使我们了解到最新矫正方法的重要性。这种手术的使用日益普及和适应症的变化需要不同专业专家的合作:心脏病专家、心脏外科医生、麻醉师、复苏师、灌注学家、风湿病学家、电生理学家和其他专家。为了在医疗机构中实施这一方法,建立了独立的医生小组"心脏小组",不仅参与患者的选择,而且参与TAVI的实施。积累经验,创造最佳设计和减少导尿管直径导致并发症发生率降低,并在低风险人群中使用的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TAVI: past, present and future. On the 20th anniversary of the world’s first endovascular aortic valve implant
2022 is a special year for the development of world cardiology: two important events are celebrated, namely the 40th anniversary of the first percutaneous angioplasty performed by Andreas Gruentzig (Switzerland) in September 1977 and the 20th anniversary of the first successful transcatheter aortic valve implantation (TAVI) in humans. Undoubtedly, these two techniques changed the development of the cardiovascular field of medicine for many decades. The spread of aortic stenosis, as the most common acquired heart disease, allows us to understand the importance of the latest methods of its correction. The growing prevalence of use and changes in indications for this operation require the collaboration of specialists in various specialties: cardiologists, cardiac surgeons, anesthesiologists, resuscitators, perfusiologists, rheumatologists, electrophysiologists and others. To implement the method in medical institutions, separate teams of doctors «Heart Team» are created that not only participate in the selection of patients, but also participate in the implementation of TAVI. Gaining experience, creating an optimal design and reducing the diameter of the delivery catheters has led to a reduction in the incidence of complications and the possibility of use in lower risk groups.
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