经导管主动脉瓣置换术后并发症的研究现状与进展

Current research status and research progress of complications after transcatheter aortic valve replacement

十余年来，随着经导管主动脉瓣置换术（TAVR）应用到临床实践中，主动脉瓣狭窄的治疗方式发生了革命性的变化。作为外科主动脉瓣置换术（SAVR）的补充，TAVR主要用于治疗高龄、重度主动脉瓣狭窄、左心功能不全、外科手术死亡风险高而无法行SAVR的患者。但随着TAVR的开展，其术后并发症也越发的突出。作为微创介人手术，充分认识并妥善处置TAVR的相关并发症，是开展TAVR的一个必备要求。本文就当前TAVR术后所出现的相关并发症的研究现状及其进展作一综述。

Over the past decade, with the introduction of transcatheter aortic valve replacement （TAVR） into clinical practice, the treatment of aortic stenosis has changed dramatically. As a supplement to surgical aortic valve replacement surgery, TAVR is mainly used for the treatment of patients with old age, severe aortic stenosis, left heart failure, and high surgical mortality risk who cannot undergo SAVR. However, with the development of TAVR, the postoperative complications have become more prominent. As a minimally invasive interventional surgery, full understanding and proper handling of TAVR related complications is an essential requirement for developing TAVR. This article mainly reviews the current research status and research progress of the related complications after TAVR.