经导管主动脉瓣置换术后急性脑梗死早期识别并成功取栓一例
Early Identification and Successful Thrombectomy in a Patient With Acute Cerebral Infarction Following Transcatheter Aortic Valve Replacement
苑飞 1李强 1刘新民 1王力锋 1姚晶 1罗太阳 1姜正明 1宋光远1
作者信息
- 1. 首都医科大学附属北京安贞医院 瓣膜性心脏病介入治疗中心,北京 100029
- 折叠
摘要
经导管主动脉瓣置换术(TAVR)是指南推荐重度症状性主动脉瓣狭窄的重要手段之一.急性脑梗死是TAVR术后的严重并发症,显著影响患者预后和生活质量.溶栓和机械取栓是指南推荐的治疗急性脑梗死的标准方案,但其在TAVR患者的有效性和安全性证据有限.本文报道一例TAVR术后脑梗死患者,接受了急诊脑血管造影并成功经导管取栓.
Abstract
Transcatheter aortic valve replacement(TAVR)is one of the most important guideline-recommended procedures for severe symptomatic aortic stenosis.Acute cerebral infarction is a serious complication after TAVR,with a high incidence rate and may significantly affect patient prognosis and quality of life.Thrombolysis and mechanical thrombectomy are standard treatments for acute cerebral infarction recommended by guidelines,but evidence of their efficacy and safety in patients undergoing TAVR is limited.We report a patient with acute cerebral infarction after TAVR,who were treated with emergency cerebral angiography and successful transcatheter thrombectomy.
关键词
经导管主动脉瓣置换术/脑梗死/脑血管造影/经皮颅内动脉取栓术Key words
transcatheter aortic valve replacement/cerebral infarction/cerebral angiography/percutaneous intracranial arterial thrombectomy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据