| 崔前辉,杨帆,张申伟,等.经食管超声心动图在无球囊预扩张经导管主动脉瓣置换术中的临床意义[J].安徽医药,2021,25(8):1529-1532. |
| 经食管超声心动图在无球囊预扩张经导管主动脉瓣置换术中的临床意义 |
| Clinical significance of transesophageal echocardiography during patient selection for transcatheter aortic valve implantation without balloon predilation |
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| DOI：10.3969/j.issn.1009-6469.2021.08.012 |
| 中文关键词: 经导管主动脉瓣置换 经食管超声心动图 无球囊预扩张 主动脉瓣狭窄 |
| 英文关键词: Transcatheter aortic valve replacement Transesophageal echocardiography (TEE) Without balloon predilation |
| 基金项目:河南省科技厅科技攻关项目( 192102310062) |
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| 中文摘要: |
| 目的比较经食管超声心动图( TEE)在球囊预扩张( BPD)和无球囊预扩张经导管主动脉瓣置换术( TAVI)中的差异，评估经食管超声心动图在无球囊预扩张经导管主动脉置换术中的临床意义。方法回顾性分析 2016年 1月至 2019年 1月在郑州市第七人民医院行 TAVI的 149例重度主动脉狭窄病人的经食管超声心动图资料，比较主动脉环及根部、瓣叶活动度和钙化程度以及瓣膜面积等数据，从而评估经食管超声心动图在无球囊预扩张经导管主动脉置换术中的临床意义。结果病人年龄( 82.73±5.26)岁， 59例病人接受了无球囊预扩张经导管主动脉瓣置换术。主动脉瓣面积( 0.61±0.15)cm2，主动脉瓣环长径(22.14±2.31)mm。共 14例病人在 TAVI术后出现瓣周漏，其中无球囊预扩张组 5例，与球囊扩张组瓣周漏发生率差异无统计学意义。其余受访病人均未出现严重并发症。结论经食管超声心动图可对心脏结构进行准确的测量，帮助选择无球囊预扩张 TAVI的合适病人，对临床治疗具有重要的临床价值。 |
| 英文摘要: |
| Objective To compare the difference in transesophageal echocardiography (TEE) between patients undergoing transcatheter aortic valve implantation (TAVI) with balloon predilation (BPD) and those without BPD, and to evaluate the clinical significance ofTEE during patient selection for TAVI without BPD.Methods TEE data of 149 patients with severe aortic stenosis, who underwentTAVI from January 2016 to January 2019, were retrospectively analyzed. Three-dimensional TEE imaging was used to evaluate the aortic annulus and root, leaflet mobility, degree of calcification, valve area, etc. After TEE data were reviewed, clinical significance of TEEduring patient selection for TAVI without BPD was evaluated.Results The mean age of patients was (82.73±5.26) years. Totally 59 patients underwent TAVI without BPD. The mean aortic valve area was (0.61±0.15) cm2, and the mean aortic annular diameter was (22.14±2.31) mm. A total of 14 patients had peri-valve leakage after TAVI, including 5 patients without BPD . There was no significant difference in peri-valve leakage between the patients who underwent TAVI with BPD and those without BPD. In addition, no significantcomplications were found in other patients.Conclusion TEE is able to accurately measure the aortic structure and better select appropriate patients undergoing TAVI without BPD, which is of great significance for clinical treatment. |
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