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经导管主动脉瓣置换术后生物瓣功能障碍的研究进展

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经导管主动脉瓣置换术(TAVR)已成为治疗主动脉瓣狭窄的重要介入手段,得益于材料技术的进步与操作经验的积累,TAVR已广泛运用于外科手术中高风险的患者,并逐渐向年轻、低风险患者拓展。生物瓣作为TAVR的核心材料,其功能障碍可能影响手术效果和患者的生活质量。现对生物瓣功能障碍的诊断评估、危险因素、临床预后和相关研究成果进行总结,旨在为预防和减轻生物瓣功能障碍、提高生物瓣的耐久性提供参考。
Bioprosthetic Valve Dysfunction After Transcatheter Aortic Valve Replacement
Transcatheter aortic valve replacement(TAVR)is an important intervention for patients with aortic stenosis.Thanks to the advancement of material technology and the accumulation of operational experience,TAVR has been widely used in high-risk patients and is gradually expanding to younger and low-risk patients.As the core material of TAVR,bioprosthetic valve dysfunction may reduce treatment efficacy and patient quality of life.This review comprehensively summarizes the diagnosis and prognosis of bioprosthetic valve dysfunction,providing reference for preventing and reducing biological valve dysfunction and improving the durability of bioprosthetic valve.

Aortic stenosisTranscatheter aortic valve replacementBioprosthetic valve dysfunctionDurability

杨振宇、方伟、任何、胡健强、马文帅、王秋和、李妍

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空军军医大学唐都医院心血管内科,陕西西安 710038

主动脉瓣狭窄 经导管主动脉瓣置换术 生物瓣功能障碍 耐久性

国家自然科学基金

82070385

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(8)