经导管主动脉瓣置换术在外科手术中、低危患者中的研究现状及展望
潘文志,周达新,葛均波
摘要(Abstract):
<正>经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)是心血管介入领域的热门新技术。该技术的发展历程与既往心脏介入技术不同:既往技术首先是在病情平稳、可以行外科手术的人群中展开,再逐渐向病情危重、不能耐受外科手术的人群中拓展。而TAVR首先在不能耐受外科手术、病情极危重患者中开展,再逐渐向外科手术风险较低、病情较平稳的人群拓展。目前,欧美瓣膜管理指南推荐外科手术禁忌或高危主动脉瓣狭窄(aortic stenosis,AS)患者为TAVR适应证~[1-2]。但新近研究显示,外科手术
关键词(KeyWords): 经导管主动脉瓣置换术;主动脉瓣狭窄;外科主动脉瓣置换术
基金项目(Foundation): 上海市科委产学研项目子课题(14DZ1941500);; 复旦大学中山医院优秀青年培养计划(2015025)
作者(Author): 潘文志,周达新,葛均波
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