主动脉瓣狭窄合并冠状动脉疾病的评估和管理中国专家共识2025Chinese expert consensus on the assessment and management of aortic stenosis with concomitant coronary artery disease(2025)
《主动脉瓣狭窄合并冠状动脉疾病的评估和管理中国专家共识2025》编写组 ,杜俣,王志坚,张海波
摘要(Abstract):
钙化性主动脉瓣狭窄(AS)和冠状动脉疾病(CAD)均是全球常见的心血管病,AS合并CAD患者在临床上亦很常见。对于拟行主动脉瓣置换术的AS合并CAD患者,如何评估心肌血运重建指征、选择心肌血运重建的方式和时机仍存在争议。为及时更新行业对AS合并CAD评估和管理的认识,本共识专家组通过系统文献回顾,结合自身实践深入讨论,更新了重度AS患者合并CAD的综合评估和管理策略。鉴于经导管主动脉瓣置入术(TAVI)在国内广泛应用,本共识同时介绍了TAVI术中冠状动脉闭塞风险的评估和预防方式,以及TAVI术后冠状动脉介入难点和应对策略。
关键词(KeyWords): 主动脉瓣狭窄;冠状动脉疾病;主动脉瓣置换;心肌血运重建;专家共识
基金项目(Foundation):
作者(Author): 《主动脉瓣狭窄合并冠状动脉疾病的评估和管理中国专家共识2025》编写组 ,杜俣,王志坚,张海波
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