经导管主动脉瓣置换术后传导阻滞的研究现状  

Research status of cardiac conduction block after transcatheter aortic valve replacement

作　　者：戴晗怡 朱齐丰[1] 刘先宝[1] DAI Hanyi;ZHU Qifeng;LIU Xianbao(Department of Cardiology,the Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou,Zhejiang 310009,P.R.China)

机构地区：[1]浙江大学医学院附属第二医院心血管内科,杭州310009

出　　处：《华西医学》2021年第9期1167-1171,共5页West China Medical Journal

基　　金：浙江省重点研发计划(2021C03097)。

摘　　要：心脏传导阻滞是经导管主动脉瓣置换术最常见的围手术期并发症之一,部分传导阻滞会随着时间而自行消退,但其发生率并未随着器械迭代而降低,对患者预后造成了不良影响。目前经导管主动脉瓣置换术后传导阻滞的预防和管理策略仍处于探索阶段。该文阐述了经导管主动脉瓣置换术后传导阻滞的发生机制及影响、发生率、预测因素、管理、起搏器植入的指征和时机,旨在为临床实践中经导管主动脉瓣置换术后传导阻滞的预防和管理提供一定参考。Cardiac conduction block is one of the most common perioperative complications of transcatheter aortic valve replacement(TAVR),a proportion of which will resolve spontaneously over time,but its incidence has not decreased with the iteration of instruments.It is associated with poor prognosis of patients.The prevention and management strategies of cardiac conduction block after TAVR are still being explored.This paper expounds the mechanism,influence,incidence,predictors,management of cardiac conduction block and indications,timing of permanent pacemaker implantation to provide a reference for the prevention and management of cardiac conduction block after TAVR in clinical practice.

关 键 词：经导管主动脉瓣置换术 主动脉瓣狭窄 心脏传导阻滞 

分 类 号：R654.2[医药卫生—外科学]