重度主动脉瓣狭窄合并慢性冠状动脉疾病患者经导管主动脉瓣置换术同期/分期经皮冠状动脉介入治疗救治策略的研究进展Research progress on treatment strategies for simultaneous/staged percutaneous coronary intervention in patients with severe aortic valve stenosis and chronic coronary artery disease undergoing percutaneous aortic valve replacement surgery
马玲,王婧雅,徐倩伟,余小林
摘要(Abstract):
目前,经导管主动脉瓣置换术(TAVR)已不仅仅是外科高危重度主动脉瓣狭窄(AS)患者的优选替代方案,中危和低危AS患者也有所获益。近1/2的AS患者合并冠状动脉疾病(CAD),因此在TAVR治疗重度AS合并CAD的患者中行经皮冠状动脉介入治疗(PCI)成为临床常见需求。当前TAVR与PCI孰先孰后亦或同期进行存在较大争议。本文将对行TAVR治疗的重度AS合并慢性CAD患者行PCI的时机进行综述。
关键词(KeyWords): 主动脉瓣狭窄;经导管主动脉瓣置换术;经皮冠状动脉介入治疗
基金项目(Foundation):
作者(Author): 马玲,王婧雅,徐倩伟,余小林
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