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经导管主动脉瓣置换术围手术期脑卒中和脑保护研究进展

Perioperative Transcatheter Aortic Valve Replacement for Stroke and Cerebral Protection

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经导管主动脉瓣置换术(TAVR)目前已成为主动脉瓣狭窄患者主要治疗方式之一,其适应证逐渐由中高危患者向低龄、低危患者扩展.脑卒中是TAVR术后较常见的并发症之一,其增加患者死亡率、降低生活质量并增加医疗成本.因此,围手术期进行脑保护是至关重要的.现就TAVR围手术期脑卒中及脑保护做简要综述.
Transcatheter aortic valve replacement(TAVR)has now become one of the main treatments for patients with aortic stenosis,and its indications have gradually expanded from intermediate-and high-risk patients to younger and low-risk patients.Stroke is one of the most common complications after TAVR,increasing patient mortality,reducing quality of life,and increasing healthcare costs.Therefore,perioperative cerebral protection is crucial.This article briefly reviews perioperative stroke and cerebral protection after TAVR.

Transcatheter aortic valve replacementAortic stenosisStrokeCerebral protectionEmbolic protection deviceAntithrombotic therapy

吴文军、谢玲、李婷婷、丁任重、胡义杰

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陆军军医大学大坪医院心脏血管外科,重庆 400042

经导管主动脉瓣置换术 主动脉瓣狭窄 脑卒中 脑保护 脑保护装置 抗血栓治疗

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(4)