[1]王璐 李耀东.TAVR合并心房颤动抗凝策略的研究进展[J].心血管病学进展,2022,(8):695-697,706.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.007]
 WANG Lu,LI Yaodong.Anticoagulation Strategy in Patients After TAVR Complicated with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2022,(8):695-697,706.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.007]
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TAVR合并心房颤动抗凝策略的研究进展(/HTML)
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2022年8期
页码:
695-697,706
栏目:
综述
出版日期:
2022-08-25

文章信息/Info

Title:
Anticoagulation Strategy in Patients After TAVR Complicated with Atrial Fibrillation
作者:
王璐 李耀东
(新疆医科大学第一附属医院心脏中心起搏电生理科?新疆心电生理与心脏重塑重点实验室,新疆 乌鲁木齐 830054 )
Author(s):
WANG Lu LI Yaodong
(Department of Pacing and Electrophysiology, Department of Cardiac Electrophysiology and Remodeling, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054 ,Xinjiang,China)
关键词:
经导管主动脉瓣植入术心房颤动抗凝治疗新型口服抗凝药左心耳封堵术
Keywords:
Transcatheter aortic valve replacement Atrial fibrillation Anticoagulant therapy New oral anticoagulants Left atrial appendage closure
DOI:
10.16806/j.cnki.issn.1004-3934.2022.08.007
摘要:
心房颤动作为主动脉瓣狭窄患者行经导管主动脉瓣置换术后最常见的心律失常,其最佳抗凝策略目前并无统一规定,因此临床医务人员对经导管主动脉瓣置换术合并心房颤动患者的抗凝方案尚未达成一致。现就经导管主动脉瓣植入术合并心房颤动抗凝策略的研究进展做一综述。
Abstract:
Atrial fibrillation is the most common arrhythmia in patients with aortic valve stenosis after transcatheter aortic valve replacement (TAVR). At present, there is still no unified regulation on the best anticoagulation strategy , so the clinician have not reached a consensus on the anticoagulation scheme for patients after TAVR complicated with atrial fibrillation. This article reviews the research progress of anticoagulation strategies for transcatheter aortic valve implantation complicated with atrial fibrillation.

参考文献/References:

[1] 汪志雄,杨思远. 经导管主动脉瓣置换术的现状及进展[J]. 中西医结合心脑血管病杂志,2021,19(22):3907-3911.
[2] Tanawuttiwat T,O’Neill B,and Cohen M. New-onset atrial fibrillation after aortic valve replacement comparison of transfemoral,transapical,transaortic,and surgical approaches[J]. J Am Coll Cardiol,2014,63(15):1510-1519.
[3] Zhou SC,Xu K,Wang B,et al. One-year follow-up results of atrial fibrillation patients who undergoing transcatheter aortic valve implantation[J]. Zhonghua Xin Xue Guan Bing Za Zhi,2022,50(2):132-136.
[4] Ammar A,Elbatran AI,Wijesuriya N,et al. Management of atrial fibrillation after transcatheter aortic valve replacement:challenges and therapeutic considerations[J]. Trends Cardiovasc Med,2021,31(6):361-367.
[5] Chao TF,Nedeljkovic MA,Lip GYH,et al. Stroke prevention in atrial fibrillation:comparison of recent international guidelines[J]. Eur Heart J Suppl,2020,22(Suppl O):O53-O60.
[6] 陈莎莎,周达新. 经导管主动脉瓣置换术后抗栓策略的研究进展[J]. 上海医药,2021,42(19):3-5.
[7] 张倩,王墨扬,吴永健. 《经导管主动脉瓣置换术中国专家共识(2020更新版)》解读[J]. 华西医学,2021,36(9):1191-1195.
[8] Vavuranakis M,Kalogeras K,Vrachatis D,et al. Antithrombotic therapy in patients undergoing TAVI with concurrent atrial fibrillation. One center experience[J]. J Thromb Thrombolysis,2015,40(2):193-197.
[9] Abdul-Jawad Altisent O,Durand E,Mu?oz-García AJ,et al. Warfarin and antiplatelet therapy versus?warfarin alone for treating patients?with?atrial fibrillation undergoing transcatheter aortic valve replacement[J]. JACC Cardiovasc Interv,2016,9(16):1706-1717.
[10] Geis NA,Kiriakou C,Chorianopoulos E,et al. Feasibility and safety of vitamin K antagonist monotherapy in atrial fibrillation patients undergoing transcatheter aortic valve implantation[J]. EuroIntervention,2017,12(17):2058-2066.
[11] Geis NA,Kiriakou C,Chorianopoulos E,et al. NOAC monotherapy in patients with concomitant indications for oral anticoagulation undergoing transcatheter aortic valve implantation[J]. Clin Res Cardiol,2018,107(9):799-806.
[12] Butt JH,de Backer O,Olesen JB,et al. Vitamin K antagonists vs. direct oral anticoagulants after transcatheter aortic valve implantation in atrial fibrillation[J]. Eur Heart J Cardiovasc Pharmacother,2021,7(1):11-19.
[13] Ueyama H,Kuno T,Ando T,et al. Meta-analysis comparing direct oral anticoagulants versus vitamin k antagonists after transcatheter aortic valve implantation[J]. Am J Cardiol,2020,125(7):1102-1107.
[14] Seeger J,Gonska B,Rodewald C,et al. Apixaban in patients with atrial?fibrillation?after transfemoral aortic?valve?replacement[J]. JACC Cardiovasc Interv,2017,10(9):66-74.
[15] van Mieghem NM,Unverdorben M,Valgimigli M,et al. Edoxaban Versus standard of care and their effects on clinical outcomes in patients having undergone Transcatheter Aortic Valve Implantation in Atrial Fibrillation-Rationale and design of the ENVISAGE-TAVI AF trial[J]. Am Heart J,2018,205:63-69.
[16] Mangner N,Crusius L,Haussig S,et al. Continued versus interrupted oral anticoagulation during transfemoral transcatheter aortic valve implantation and impact of postoperative anticoagulant management on outcome in patients with atrial fibrillation[J]. Am J Cardiol,2019,123(7):1134-1141.
[17] Kawashima H,Watanabe Y,Hioki H,et al. Direct oral anticoagulants versus vitamin K antagonists in patients with atrial fibrillation after TAVR[J]. JACC Cardiovasc Interv,2020,13(22):2587-2597.
[18] Tarantini G,Mojoli M,Urena M. Atrial fibrillation in patients undergoing transcatheter aortic valve implantation:epidemiology,timing,predictors,and outcome[J]. Eur Heart J,2017,38(17):1285-1293.
[19] van Mieghem NM,Unverdorben M,Hengstenberg C,et al. Edoxaban versus vitamin K antagonist for atrial fibrillation after TAVR[J]. N Engl J Med,2021,385(23):2150-2160.
[20] Jochheim D,Barbanti M,Capretti G,et al. Oral anticoagulant type and outcomes?after transcatheter aortic?valve replacement[J]. JACC Cardiovasc Interv,2019,12(16):1566-1576.
[21] Carmeliet T,Vermeersch P,Prihadi EA. Late clinical valve thrombosis after transcatheter aortic valve replacement despite non-vitamin K anticoagulant[J]. JACC Case Rep,2021,3(10):1275-1280.
[22] Parashar A,Sud K,Devgun J,et al. Feasibility of LAA closure for left atrial thrombus in?patients with aortic stenosis and AF[J]. J Am Coll Cardiol,2016,68(7):770-771.
[23] 王宇彬,宋光远,张海彤,等. 经导管主动脉瓣置换术后心房颤动行左心耳封堵术二例[J]. 中国循环杂志,2019,34(2):196-197.
[24] 周道,戚鑫瑞,朱齐丰,等. 经导管主动脉瓣置换术后并发症的防治研究进展[J]. 内科急危重症杂志,2021,27(6):448-452.
[25] 左海润,徐承义,苏晞. “一站式”经导管主动脉瓣置换术联合左心耳封堵术的临床现状[J]. 中国介入心脏病学杂志,2021,29(12):708-711.
[26] 左海润,徐承义,苏晞,等. “一站式”经导管主动脉瓣置换术联合左心耳封堵术一例[J]. 华西医学,2021,36(9):1315-1317.
[27] 刘海涛,杨亚丽,朱存军,等. 经导管主动脉瓣置换加左心耳封堵术1例[J]. 心脏杂志,2021,33(4):464-466.
[28] Sinning JM,Hammerstingl C,Vasa-Nicotera M,et al. Transcatheter aortic valve implantation and closure of the left atrial appendage under cerebral protection[J]. EuroIntervention,2012,8(5):640-641.
[29] Khattab AA,Gloekler S,Sprecher B,et al. Feasibility and outcomes of combined transcatheter aortic valve replacement with other structural heart interventions in a single session:a matched cohort study[J]. Open Heart,2014,1(1):e000014.
[30] Fusari M. Clopidogrel,aspirin and proton pump inhibition after percutaneous valve implants:an update[J]. Curr Pharm Des,2013,19(22):3932-3945.
[31] Costa G, Goncalves L,Teixeira R. Antithrombotic therapy after transcatheter aortic valve implantation in patients with concomitant indications for long-term oral anticoagulation:a systemic review and meta-analysis[J]. Circulation,2020,142(suppl 3):A12786.
[32] Yokoyama Y,Briasoulis A,Takagi H,et al. Anticoagulation with or without antiplatelet therapy following transcatheter aortic valve replacement for patients with atrial fibrillation:a meta-analysis[J]. Cardiovasc Revasc Med,2021,24:42-47.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81873487)
通信作者:李耀东,E-mail:boylyd@163.com
更新日期/Last Update: 2022-10-08