经导管主动脉瓣置换术治疗老年单纯主动脉瓣关闭不全  

Application of transcatheter aortic valve replacement in elderly patients with native pure aortic regurgitation

作　　者：周强 白杨[1] 马飞 徐昶 肖志超 贺行巍 崔广林 王红[1] 曾和松[1] Zhou Qiang;Bai Yang;Ma Fei;Xu Chang;Xiao Zhichao;He Xingwei;Cui Guanglin;Wang Hong;Zeng Hesong(Department of Cardiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院心内科,武汉430030

出　　处：《中国医师杂志》2022年第7期1047-1050,共4页Journal of Chinese Physician

摘　　要：目的探讨经导管主动脉瓣置换术(TAVR)治疗老年单纯主动脉瓣关闭不全(AR)的可行性、解剖学指征及操作要点。方法回顾性分析2020年3月至2021年3月华中科技大学同济医学院附属同济医院心内科收治的4例老年单纯AR患者的病历资料,均经外周动脉入路植入自膨胀式瓣膜支架行TAVR治疗。分析其可行性、解剖学指征及操作要点。结果4例老年单纯AR患者中位年龄66岁,均TAVR治疗成功,无严重围手术期并发症及死亡,随访显示心功能状态和心脏重塑指标均明显好转。结论对严格筛选的老年单纯AR患者,TAVR是可行且有效的治疗选择,值得进一步研究。Objective This study sought to investigate the feasibility,anatomical indications and operating points of transcatheter aortic valve replacement(TAVR)procedure in the treatment of pure aortic regurgitation(AR).Methods The medical records of 4 elderly patients with pure AR who were treated in the cardiology department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from March 2020 to March 2021 were retrospectively analyzed.All patients were implanted with self-expandable valve stents via peripheral artery approach for TAVR treatment.The feasibility,anatomical indications and key points of TAVR were analyzed.Results The 4 patients with pure AR who were carefully screened had an average age of 66 years,and all achieved TAVR treatment success without serious perioperative complications and death.Postoperative examination and follow-up data showed that cardiac functions and cardiac remodeling indexes were significantly improved.Conclusions This exploratory study shows that TAVR is technically feasible and effective treatment option for selected elderly patients with native pure AR,which is worthy of further study.

关 键 词：经导管主动脉瓣置换 主动脉瓣关闭不全 人工心脏瓣膜 

分 类 号：R654.2[医药卫生—外科学]