经导管主动脉瓣置换术治疗选择与应用进展

Treatment options and advances application of transcatheter aortic valve replacement

摘要:

重度主动脉瓣狭窄是常见的心脏瓣膜疾病，外科主动脉瓣置换术是其传统的治疗方法。随着技术的不断发展，经导管主动脉瓣置换术已成为无法行外科手术或手术风险较高的严重症状性主动脉瓣狭窄患者的有效治疗手段，其适应证也在不断扩大。该文阐述经导管主动脉瓣置换术在不同人群的适应证选择、手术入路、人工瓣膜类型选择、术后治疗和康复等进展，为主动脉瓣狭窄患者的治疗提供参考。

Abstract:

Severe aortic stenosis（AS） is a common heart valve disease. Surgical aortic valve replacement is a traditional treatment for patients with clinic symptoms. With the continuous development of technology, transcatheter aortic valve replacement has become an effective treatment for patients with severe symptomatic aortic stenosis who cannot undergo surgery or have a high surgical risk, and its scope of indications is also expanding. This article reviews the progress in the selection of indications, surgical approach, prosthetic valve type selection, postoperative treatment, and rehabilitation of transcatheter aortic valve replacement in different populations, providing reference for the treatment of patients with aortic valve disease.