病人选择和操作方法机械瓣vs生物瓣主动脉瓣替换西方观点(英文.pptVIP

病人选择和操作方法:

机械瓣vs生物瓣主动脉瓣替换

西方观点;“Theidealprostheticvalvewouldhaveexcellenthemodynamics(similartoanormalhumanvalveinthesameposition),lastalifetime,befreeofstructuraldysfunctionorbreakdown,andrequirenoparticularmedicaltherapysuchasanticoagulation.Needlesstosay,suchavalveisyettobeavailable.”

;;推荐;;推荐;;前瞻性随机研究;;;;;;;生物瓣vs.机械瓣

AHA/ACC标准;年龄

主要的瓣膜选择标准;AHA/ACC指南;机械瓣风险;年龄vsINR

出血的时间;;;生物瓣风险;;;;;瓣膜演变;;Recommendations

ValveChoice;Clinical

RecommendationsTissueValve;临床建议-机械瓣;病人倾向性性

生活质量;;;AVR人群 ;;;;PatientSelectionandPracticePatterns:

MechanicalvsBioprostheticAorticValves

PerspectiveWest;“Theidealprostheticvalvewouldhaveexcellenthemodynamics(similartoanormalhumanvalveinthesameposition),lastalifetime,befreeofstructuraldysfunctionorbreakdown,andrequirenoparticularmedicaltherapysuchasanticoagulation.Needlesstosay,suchavalveisyettobeavailable.”

;;Recommendations;;Recommendations;;ProspectiveRandomizedTrials;;;;;;;Tissuevs.Mechanical

AHA/ACCCriteria;Age

MajorCriteriaforValveSelection;BasisofAHA/ACCGuidelines;MechanicalValveRisk;AgevsINR

TimeofMajorBleeding;;;BioprostheticValveRisk;;;;;ProsthesisEvolution;;Recommendations

ValveChoice;Clinical

RecommendationsTissueValve;Clinical

RecommendationsMechanicalValve;PatientPreference

QualityofLife;;;AVRPopulation ;;谢谢大家！