Transcatheter Aortic Valve Implantation Review of the Nature, Management, and Avoidance of Procedural Complications

被引：318

作者：

Masson, Jean-Bernard ^{[1
,2
]}

Kovac, Jan ^{[3
]}

Schuler, Gerhard ^{[4
]}

Ye, Jian ^{[1
,2
]}

Cheung, Anson ^{[1
,2
]}

Kapadia, Samir ^{[5
]}

Tuzcu, Murat E. ^{[5
]}

Kodali, Susheel ^{[6
]}

Leon, Martin B. ^{[6
]}

Webb, John G. ^{[1
,2
]}

机构：

[1] Univ British Columbia, St Pauls Hosp, Div Cardiol, Vancouver, BC V6Z 1Y6, Canada

[2] Univ British Columbia, St Pauls Hosp, Div Cardiac Surg, Vancouver, BC V6Z 1Y6, Canada

[3] Univ Hosp, Dept Cardiol, Leicester, Leics, England

[4] Ctr Heart, Dept Cardiol, Leipzig, Germany

[5] Cleveland Clin, Dept Cardiovasc Med, Cleveland, OH 44106 USA

[6] Columbia Univ, Med Ctr, Ctr Intervent Vasc Therapy, New York, NY USA

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2009年 / 2卷 / 09期

关键词：

aortic valve; catheter; complication; HIGH-RISK PATIENTS; PERCUTANEOUS IMPLANTATION; ASCENDING AORTA; ARTERY ACCESS; HEART-VALVE; REPLACEMENT; PROSTHESIS; STENOSIS; FEASIBILITY; RETROGRADE;

D O I：

10.1016/j.jcin.2009.07.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transcatheter aortic valve implantation (TAVI) is becoming a reality in the management of patients with severe aortic stenosis and high or prohibitive risk for standard surgical management. Current understanding of the potential adverse events associated with this procedure is limited. Risks associated with TAVI differ from those related to surgical valve replacement and include vascular injury; stroke; cardiac injury such as heart block, coronary obstruction, and cardiac perforation; paravalvular leak; and valve misplacement. The clinical experience of multiple centers experience with different valve implantation systems and techniques was reviewed. Awareness of how complications occur might help in their avoidance, recognition, and management. Ultimately, improved understanding of the potential complications associated with TAVI might help improve outcomes and allow wider application of this therapy. (J Am Coll Cardiol Intv 2009;2:811-20) (C) 2009 by the American College of Cardiology Foundation

引用

页码：811 / 820

页数：10

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