经导管主动脉瓣置换术围手术期脑卒中和脑保护研究进展  

Perioperative Transcatheter Aortic Valve Replacement for Stroke and Cerebral Protection

作　　者：吴文军 谢玲 李婷婷 丁任重 胡义杰 WU Wenjun;XIE Ling;LI Tingting;DING Renzhong;HU Yijie(Department of Cardiovascular Surgery,Daping Hospital of Army Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院心脏血管外科,重庆400042

出　　处：《心血管病学进展》2024年第4期295-298,321,共5页Advances in Cardiovascular Diseases

摘　　要：经导管主动脉瓣置换术(TAVR)目前已成为主动脉瓣狭窄患者主要治疗方式之一,其适应证逐渐由中高危患者向低龄、低危患者扩展。脑卒中是TAVR术后较常见的并发症之一,其增加患者死亡率、降低生活质量并增加医疗成本。因此,围手术期进行脑保护是至关重要的。现就TAVR围手术期脑卒中及脑保护做简要综述。Transcatheter aortic valve replacement(TAVR)has now become one of the main treatments for patients with aortic stenosis,and its indications have gradually expanded from intermediate-and high-risk patients to younger and low-risk patients.Stroke is one of the most common complications after TAVR,increasing patient mortality,reducing quality of life,and increasing healthcare costs.Therefore,perioperative cerebral protection is crucial.This article briefly reviews perioperative stroke and cerebral protection after TAVR.

关 键 词：经导管主动脉瓣置换术 主动脉瓣狭窄 脑卒中 脑保护 脑保护装置 抗血栓治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R654.2[医药卫生—临床医学]