经导管肺动脉瓣置换术亚洲专家共识

Asian expert consensus statement on transcatheter pulmonary valve replacement

经导管肺动脉瓣置换术(TPVR),又称经皮肺动脉瓣置入术,是指在心脏不停跳状态下,使用X线和(或)超声影像作为引导,将人工肺动脉瓣通过经导管介入的方式置入到病变的肺动脉瓣处,在功能上完成肺动脉瓣置换的一种微创操作技术。近年来,TPVR领域在器械研发、循证医学证据及应用经验等方面取得了重要的进展。为及时更新对TPVR的认识,紧贴最新研究及实践,促进我国TPVR规范、健康地发展,专家组撰写了此共识。本共识对相关文献进行系统性回顾后,对8个核心问题作出深入分析,形成8个核心观点,包括适应证推荐、器械选择、围术期评估、手术操作注意事项、并发症预防处理等几个方面。

Transcatheter pulmonary valve replacement(TPVR),also known as percutaneous pulmonary valve implantation(PPVI),refers to a minimally invasive technique that replaces the pulmonary valve by delivering an artificial pulmonary prosthesis through a catheter into the diseased pulmonary valve under the guidance of X-ray and/or echocardiogram while the heart is still beating.In recent years,TPVR has achieved remarkable progress in device development,evidence-based medicine proof and clinical experience.In order to update the knowledge of TPVR in a timely fashion,and keep in step with the latest research and further facilitate the standardized and healthy development of TPVR in Asia,we wrote this consensus statement.After systematical review of the relevant literature with an indepth analysis of eight main issues,we fi nally established eight core viewpoints,including indication recommendation,device selection,perioperative evaluation,procedure precautions,and prevention and treatment of complications.