经导管主动脉瓣置换术并发症的最新进展.PDFVIP

中国胸心血管外科临床杂志 2018 年7 月第25 卷第0 期 • 1 •   ·综　述· 经导管主动脉瓣置换术并发症的最新进展 成泽怡，郭应强 四川大学华西医院 心脏大血管外科（成都  610041 ） 【摘要】   外科主动脉瓣置换是治疗主动脉瓣狭窄的首选方式，能够显著改善患者生活质量及预期寿命，但 部分患者存在高龄、一般情况差等风险而无法开胸手术。2002 年法国医生 Cribier 对 1 例主动脉瓣狭窄患者成功 实施经导管主动脉瓣置换术（transcatheter aortic valve implantation ，TAVI ）手术，目前 TAVI 手术的安全性与有效 性，已经被多项研究证实。然而其并发症也相对多见，现就国内外相关报道进行综述。 【关键词】  经导管主动脉瓣置换；并发症；综述 The progress of complications of transcatheter aortic valve implantation CHENG Zeyi, GUO Yingqiang Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China Corresponding author: GUO Yingqiang, Email: drguoyq@ 【Abstract 】 Surgical aortic valve replacement is the primary choice for the treatment of aortic valve stenosis. It can significantly improve the quality of life and life expectancy of patients, but some patients have risks such as advanced age and poor general conditions and cannot open chest surgery. In 2002, a French doctor, Cribier, successfully performed transcatheter aortic valve implantation (TAVI) surgery on a patient with aortic stenosis. At present, the safety and effectiveness of TAVI surgery have been confirmed by many studies. However, its complications are also relatively common. This article summarizes the related reports at home and abroad. 【Key words 】 Transcatheter aortic valve implantation; complications; review [2] 2002 年法国医生 Cribier 对 1 例主动脉瓣狭窄 漏很常见，Kodali 等 报道不管使用何种瓣膜类型， 患者成功实施经导管主动脉瓣置换术（transcatheter 中-重度瓣周漏发生率约 10% ～40% 。瓣周漏可能 [1] 是由于植入瓣膜过小、人工支架框