摘要
冠状动脉阻塞是经导管主动脉瓣置换术少见却致命的并发症,虽然目前尚无公认的标准来全面评估冠状动脉阻塞的发生,但有研究已揭示了许多重要的风险因素,同时一些预防处理措施也被发现可减少其发生。经导管主动脉瓣置换术目前在中国处于快速发展的阶段,但临床医务工作者对冠状动脉阻塞这一并发症的认识仍有待提高。该文探讨了经导管主动脉瓣置换术并发冠状动脉阻塞的发生率、风险因素、预测性评估、预防、处理及预后,以期增强临床医务工作者对这一并发症的认识。
Coronary artery obstruction is a rare but fatal complication of transcatheter aortic valve replacement.Although there is no accepted criteria to fully evaluate the occurrence of coronary artery obstruction,studies have revealed many important risk factors,and some preventive measures have also been found to reduce their occurrence.At present,transcatheter aortic valve replacement is in a stage of rapid development in China,but clinical medical workers’knowledge of coronary artery obstruction as a complication still needs to be improved.This article discusses the incidence,risk factors,predictive assessment,prevention,treatment and prognosis of coronary artery obstruction complicated by transcatheter aortic valve replacement,so as to increase clinical medical workers’understanding of this complication.
作者
祝磊
欧袁伟翔
李茜
李怡坚
冯沅
陈茂
ZHU Lei;OU Yuanweixiang;LI Xi;LI Yijian;FENG Yuan;CHEN Mao(Department of Cardiology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
出处
《华西医学》
CAS
2020年第9期1039-1043,共5页
West China Medical Journal
基金
四川省科学技术厅科技支撑计划(2019YFS0299)。
关键词
经导管主动脉瓣置换术
冠状动脉阻塞
并发症
Transcatheter aortic valve replacement
Coronary obstruction
Complication
