典型文献
Aortic valve leaflet disruption techniques in transcatheter aortic valve replacement
文献摘要:
ABSTRACT With continued technological advancement and technical improvement of transcatheter aortic valve replacement (TAVR), it has become a desirable treatment option for aortic valve stenosis. Its minimally invasive approach compared to surgical aortic valve replacement offers the treatment to a broader patient population, mainly non-surgical candidates. A feared complica-tion of TAVR is the occlusion of coronary artery ostium by the native aortic valve leaflet due to its displacement by the expanded transcatheter valve. Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction (BASILICA) is a technique developed to mitigate this risk by creating a lengthwise laceration of the left and/or right aortic valve leaflets prior to TAVR. Patient outcomes following TAVR with BASILICA have been promising. Meticulous preoperative examin-ation, patient selection, and hemodynamic management are imperative. With continued refinement, BASILICA may further ex-pand the application of TAVR to patients at high risk for coronary occlusion associated with the procedure.
文献关键词:
中图分类号:
作者姓名:
Brian Shin;David Li;Hong LIU
作者机构:
Department of Anesthesiology and Pain Medicine,University of California Davis Health,Sacramento,USA
文献出处:
引用格式:
[1]Brian Shin;David Li;Hong LIU-.Aortic valve leaflet disruption techniques in transcatheter aortic valve replacement)[J].老年心脏病学杂志(英文版),2022(12):990-994
A类:
feared,Bioprosthetic,BASILICA,lengthwise,examin
B类:
Aortic,valve,disruption,techniques,transcatheter,aortic,replacement,ABSTRACT,With,continued,technological,advancement,technical,improvement,TAVR,has,become,desirable,treatment,option,stenosis,Its,minimally,invasive,approach,compared,surgical,offers,broader,population,mainly,candidates,complica,occlusion,coronary,artery,ostium,by,native,due,its,displacement,expanded,scallop,intentional,laceration,prevent,iatrogenic,obstruction,developed,mitigate,this,risk,creating,left,right,leaflets,prior,Patient,outcomes,following,have,been,promising,Meticulous,preoperative,selection,hemodynamic,management,imperative,refinement,may,further,application,patients,high,associated,procedure
AB值:
0.515788
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