[1]吴奕璇 邓少东 陈建英.经导管主动脉瓣置换术后瓣周漏相关危险因素研究进展[J].心血管病学进展,2024,(6):481.[doi:10.16806/j.cnki.issn.1004-3934.2024.06.001]
 WU Yixuan,DENG Shaodong,CHEN Jianying.Risk Factors Related to Perivalvular Leakage After Transcatheter Aortic Valve Replacement[J].Advances in Cardiovascular Diseases,2024,(6):481.[doi:10.16806/j.cnki.issn.1004-3934.2024.06.001]
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经导管主动脉瓣置换术后瓣周漏相关危险因素研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年6期
页码:
481
栏目:
综述
出版日期:
2024-06-25

文章信息/Info

Title:
Risk Factors Related to Perivalvular Leakage After Transcatheter Aortic Valve Replacement
作者:
吴奕璇 1 邓少东 1 陈建英 2
(1. 广东医科大学,广东 湛江 524000;2. 广东医科大学附属医院,广东 湛江 524000)
Author(s):
WU Yixuan1DENG Shaodong 1CHEN Jianying 2
( 1. Guangdong Medical University ,Zhanjiang 524000,Guangdong ,China2.Affiliated Hospital of Guangdong Medical University ,Zhanjiang 524000,Guangdong ,China)
关键词:
经导管主动脉瓣置换术瓣周漏主动脉瓣狭窄
Keywords:
Transcatheter aortic valve replacement Perivalvular leakage Aortic valve stenosis
DOI:
10.16806/j.cnki.issn.1004-3934.2024.06.001
摘要:
经导管主动脉瓣置换术(TAVR)目前已成为主动脉瓣狭窄患者的主要治疗方式之一,瓣周漏(PVL)是TAVR术后的常见并发症之一,轻度PVL可以影响患者的远期生存率,中、重度瓣周漏是TAVR术后死亡率的独立预测因素。明确PVL的相关危险因素,可以较大程度上避免严重PVL的发生,改善TAVR术后患者的远期预后,现主要介绍PVL相关危险因素的研究进展。
Abstract:
Transcatheter aortic valve replacement(TAVR) has become one of the main treatment options for patients with aortic valve stenosis. Paravalvular leakage(PVL) is a common complication after TAVR,and mild PVL can affect the long-term survival of patients,while moderate to severe PVL is an independent predictor of mortality after TAVR. Identifying the relevant risk factors for PVL can greatly reduce the occurrence of severe PVL and improve the long-term prognosis of patients after TAVR. This article mainly introduces the research progress on the risk factors related to PVL

参考文献/References:

[1] Vahanian A,Beyersdorf F,Praz F,et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease[J]. Eur Heart J,2022,43(7):561-632.

[2] Hagar A,Li Y,Wei X,et al. Incidence,predictors,and outcome of paravalvular leak after transcatheter aortic valve implantation[J]. J Interv Cardiol,2020,2020:1-11.

[3] Lázaro C,Hinojar R,Zamorano JL. Cardiac imaging in prosthetic paravalvular leaks[J]. Cardiovasc Diagn Ther,2014,4(4):307-313.

[4] Welle GA,El-Sabawi B,Thaden JJ,et al. Effect of eliminating pre-discharge transthoracic echocardiogram on outcomes after TAVR[J]. Catheter Cardiovasc Interv,2022,99(3):861-866.

[5] Généreux P,Piazza N,Alu MC,et al. Valve Academic Research Consortium 3: updated endpoint definitions for aortic valve clinical research[J]. Eur Heart J,2021,42(19):1825-1857.

[6] Mauri V,Frohn T,Deuschl F,et al. Impact of device landing zone calcification patterns on paravalvular regurgitation after transcatheter aortic valve replacement with different next-generation devices[J]. Open Heart,2020,7(1):e001164.

[7] Kofler M,Meyer A,Schwartz J,et al. A new calcium score to predict paravalvular leak in transcatheter aortic valve implantation[J]. Eur J Cardiothorac Surg,2021,59(4):894-900.

[8] Matta A,Regueiro A,Urena M,et al.Comparison of paravalvular leak in SAPIEN 3 and EVOLUT PRO valves in transcatheter aortic valve replacement: a multicenter registry[J]. Am J Cardiol,2023,207:114-120.

[9] Sherif MA,Abdel-Wahab M,St?cker B,et al. Anatomic and procedural predictors of paravalvular aortic regurgitation after implantation of the Medtronic CoreValve bioprosthesis[J].J Am Coll Cardiol,2010,56(20):1623-1629.

[10] Jilaihawi H,Chin D,Spyt T,et al. Prosthesis-patient mismatch after transcatheter aortic valve implantation with the Medtronic-Corevalve bioprosthesis[J].Eur Heart J,2009,31(7):857-864.

[11] Détaint D,Lepage L,Himbert D,et al. Determinants of significant paravalvular regurgitation after transcatheter aortic valve implantation[J]. JACC Cardiovasc Interv,2009,2(9):821-827.

[12] Tang GHL,Zaid S,George I,et al. Impact of aortic root anatomy and geometry on paravalvular leak in transcatheter aortic valve replacement with extremely large annuli using the edwards SAPIEN 3 valve[J]. JACC Cardiovasc Interv,2018,11(14):1377-1387.

[13] Tang GHL,Zaid S,Schnittman SR,et al. Novel predictors of mild paravalvular aortic regurgitation in SAPIEN 3 transcatheter aortic valve implantation[J]. EuroIntervention,2018,14(1):58-68.

[14] Kananathan S,Perera LA,Mohanarajan M,et al. The management of paravalvular leaks post aortic valve replacement[J]. J Card Surg,2022,37(9):2786-2798.

[15] Harrison JK,Hughes GC,Reardon MJ,et al. Balloon post-dilation following implantation of a self-expanding transcatheter aortic valve?bioprosthesis[J]. JACC Cardiovasc Interv, 2017 ,10(2):168-175.

[16] Renker M,Kim WK. Choice of transcatheter heart valve: should we select the device according to each patient’s characteristics or should it be “one valve fits all”?[J].Ann Transl Med,2020,8(15):961.

[17] Rheude T,Pellegrini C,Lutz J,et al. Transcatheter aortic valve replacement with balloon-expandable valves:comparison?of?SAPIEN?3 ultra versus SAPIEN 3[J]. JACC Cardiovasc Interv,2020,13(22):2631-2638.

[18] Popma JJ,Deeb GM,Yakubov SJ,et al. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients[J]. N Engl J Med,2019,380(18):1706-1715.

[19] Mack MJ,Leon MB,Thourani VH,et al. Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients[J].N Engl J Med,2019,380(18):1695-1705.

[20] Borger MA,Fedak PWM,Stephens EH,et al. The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve–related aortopathy:full online-only version[J]. J Thorac Cardiovasc Surg,2018,156(2):e41-e74.

[21] Sievers HH,Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens[J]. J Thorac Cardiovasc Surg,2007,133(5):1226-1233.

[22] Zhang Y,Xiong TY,Li YM,et al. Patients with bicuspid aortic stenosis undergoing transcatheter aortic valve replacement:a systematic review and meta-analysis[J]. Front Cardiovasc Med,2022,9:794850.

[23] Jin Q,Li W,Chen S,et al. Aortic valve morphology and paravalvular leak regression after a self-expandable transcatheter aortic valve replacement[J]. Front Physiol,2023,13:1088681.

[24] Forrest JK,Kaple RK,Ramlawi B,et al. Transcatheter aortic valve replacement in bicuspid versus tricuspid aortic valves from?the?STS/ACC TVT registry[J]. JACC Cardiovasc Interv,2020,13(15):1749-1759.

[25] Makkar RR,Yoon SH,Leon MB,et al. Association between transcatheter aortic valve replacement for bicuspid vs tricuspid aortic stenosis and mortality or stroke[J]. JAMA ,2019,321(22):2193-2202.

[26] Heidari B,Al-Hijji MA,Alkhouli MA,et al. Transcatheter aortic valve replacement outcomes in mixed aortic valve disease compared to predominant aortic stenosis[J]. Int J Cardiol,2020,299:209-214.

[27] Sato K,Kumar A,Jones BM,et al. Reversibility of cardiac function predicts outcome after transcatheter aortic valve replacement in patients with severe aortic stenosis[J]. J Am Heart Assoc,2017,6(7):e005798.

[28] Abdelghani M,Cavalcante R,Miyazaki Y,et al. Transcatheter aortic valve implantation for mixed versus pure stenotic aortic valve disease[J]. EuroIntervention,2017,13(10):1157-1165.

[29] Seeger J,Gonska B,M?rike J,et al. Outcome of patients with mixed aortic valve disease undergoing transfemoral aortic valve replacement[J]. Struct Hear,2017,1:162-167.

[30] Lopez-Pais J,Lopez-Otero D,Garcia-Touchard A,et al. Impact of significant paravalvular leaks after transcatheter aortic valve implantation on anaemia and mortality[J]. Heart,2021,107(6):497-502.

[31] Okuno T,Tomii D,Heg D,et al. Five-year outcomes of mild paravalvular regurgitation after transcatheter aortic valve implantation[J]. EuroIntervention,2022,18(1):33-42.

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更新日期/Last Update: 2024-07-26