心尖入路经导管主动脉瓣植入手术操作规范

Procedure specifications for transapical transcatheter aortic valve replacement

近年经导管主动脉瓣植入术(transcatheter aortic valve replacement,TAVR)技术快速发展。目前的指南及研究多集中于经股动脉路径主动脉瓣狭窄患者,然而对需经心尖入路的单纯主动脉瓣反流患者或其他需要经心尖入路的患者并不完全适用,影响该类患者的规范化治疗。因此,专家组在充分查阅国内外文献的基础上,结合国内开展心尖入路经导管主动脉瓣植入术(transapical transcatheter aortic valve replacement,TA-TAVR)经验较丰富的15家中心专家的意见,提出TA-TAVR手术操作规范,旨在为临床医生提供经心尖入路的规范化诊疗原则,提高我国TA-TAVR规范化诊疗水平。

Transcatheter aortic valve replacement(TAVR)techniques have been rapidly developed in recent years.Current guidelines and studies mainly focus on aortic stenosis patients treated by transfemoral approach,but they are not completely appropriate to patients with isolated aortic regurgitation or other patients who need transapical TAVR(TA-TAVR),which affects the standardized treatment of those patients.Therefore,our team pronounced the operational standards for TA-TAVR,based on fully reviewing the literatures worldwide,combined with the opinions of experts from 15 heart centers with rich experience in carrying out TA-TAVR in China.This standard aims to provide clinicians with standardized diagnosis and treatment principles of TA-TAVR and improve the quality of TA-TAVR in China.