心尖入路经导管主动脉瓣植入术临床经验综述

Review of clinical experience in transcatheter aortic valve replacement by transapical approach

随着人口老龄化趋势和微创介入瓣膜置换技术的发展,采用介入途径对高龄高危患者进行瓣膜置换手术的需求越来越大。该文在总结中南大学湘雅二医院经心尖导管主动脉瓣置换术(TA-TAVR)临床经验的基础上,结合目前已有的手术操作规范和相关单位的报道,综述TA-TAVR常见的一些热点难点问题,旨在为临床医师开展TA-TAVR提供借鉴和参考。

With the trend of population aging and the development of minimally invasive interventional valve replacement technology,there is an increasing demand for valve replacement surgery in elderly and high-risk patients by using interventional approaches.On the basis of summarizing the clinical experience of transapical transcathter aortic valve replacement(TA-TAVR)in the Second Xiangya Hospital of Central South University,combining with the currently available surgical operation norms and reports from relevant units,this paper reviews some common hot issues and difficult problems of TA-TAVR,aiming to provide reference and guidance for clinicians to perform TA-TAVR surgery.