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经导管主动脉瓣置换术治疗二叶式主动脉瓣狭窄的中国专家建议 被引量：19

Chinese expert recommendation on the transcatheter aortic valve replacement for bicuspid aortic stenosis
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摘要 经导管主动脉瓣置换术(TAVR)现已成为治疗症状性重度主动脉瓣狭窄的重要手段。TAVR技术在我国起步较晚,但发展迅速。我国患者具有年龄较轻、解剖结构更为复杂等特点,这增加了TAVR的难度,二叶式主动脉瓣狭窄更是一大难点。这一挑战性解剖特点对术前规划、术中操作及瓣膜器械的设计都提出了更高的要求。目前我国使用的TAVR瓣膜绝大多数仍是第1代瓣膜,临床上TAVR治疗二叶式主动脉瓣狭窄亟须规范,为此中华医学会心血管病学分会结构性心脏病学组特编写该建议。
作者 无 陈茂 熊恬园 冯沅
机构地区 中华医学会心血管病学分会结构性心脏病学组 四川大学华西医院
出处 《中华心血管病杂志》 CAS CSCD 北大核心 2020年第8期634-640,共7页 Chinese Journal of Cardiology
关键词 主动脉瓣狭窄 二叶式主动脉瓣 经导管主动脉瓣置换术
分类号 R654.2 [医药卫生—外科学]
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  • 1Adams, D.H., Popma, J.J., Reardon, M.J., 2014. Transcatheter aortic-valve replacement with a self-expanding prosthesis. N. Engl. J. Med., 371(10):967-968. [doi:10.1056/NEJMc 1408396].
  • 2Bauer, T., Linke, A., Sievert, H., et al., 2014. Comparison of the effectiveness of transcatheter aortic valve implanta- tion in patients with stenotic bicuspid versus tricuspid aortic valves (from the German TAVI Registry). Am. J. Cardiol., 113(3):518-521. [doi:10.1016/j.amjcard.2013. 10.023].
  • 3Costopoulos, C., Latib, A., Maisano, F., et al., 2014. Com- parison of results of transcatheter aortic valve implanta- tion in patients with severely stenotic bicuspid versus tricuspid or nonbicuspid valves. Am. J. CardioL, 113(8): 1390-1393. [doi: 10.1016/j.amjcard.2014.01.412].
  • 4Erbel, R., Aboyans, V., Boileau, C., et al., 2014. 2014 ESC Guidelines on the diagnosis and treatment of aortic dis- eases: document covering acute and chronic aortic dis- eases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur. Heart J., 35(41):2873-2926. [doi:10.1093/eurheartj/ ehu281].
  • 5Hayashida, K., Bouvier, E., Lef'evre, T., et al., 2013. Transcatheter aortic valve implantation for patients with severe bicuspid aortic valve stenosis. Circ. Cardiovasc. In- terv., 6(3):284-291. [doi:10.1161/CIRC/NTERVENTIONS. 112.000084].
  • 6Himbert, D., Pontnau, F., Messika-Zeitoun, D., et aL, 2012. Feasibility and outcomes of transcatheter aortic valve implantation in high-risk patients with stenotic bicuspid aortic valves. Am. J. Cardiol., 110(6):877-883. [doi:10. 1016/j.amjcard.2012.04.064].
  • 7Kochman, J., Huczek, Z., Scislo, P., et al., 2014. Comparison of one- and 12-month outcomes of transcatheter aortic valve replacement in patients with severely stenotic bi- cuspid versus tricuspid aortic valves (results from a mul- ticenter registry). Am. J. Cardiol., 114(5):757-762. [doi: l 0.1016/j.amjcard.2014.05.063].
  • 8Leon, M.B., Smi, C.R., Mack, M., et al., 2010. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N. Engl. J. Med., 363(17): 1597-1607. [doi: 10.1056/NEJMoa1008232].
  • 9Leon, M.B., Piazza, N., Nikolsky, E., et al., 2011. Standard- ized endpoint definitions for transcatheter aortic valve implantation clinical trials: a consensus report from the Valve Academic Research Consortium. J. Am. Coll. Cardiol., 57(3):253-269. [doi:10.1016/j.jacc.2010.12.005].
  • 10Nistri, S., Basso, C., Marzari, C., et al., 2005. Frequency of bicuspid aortic valve in young male conscripts by echo- cardiogram. Am. J. Cardiol., 96(5):718-721. [doi:10.1016/j amjcard.2005.04.051].

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中华心血管病杂志
2020年 第8期

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