精准医学杂志2024，Vol.39Issue(1)：59-62,4.DOI:10.13362/j.jpmed.202401015
冠脉高风险患者TAVR术中预植保护性导丝2例并文献复习
Preimplantation of protective guide wire during transcatheter aortic valve replacement for patients with high coronary risk:A report of two cases and literature review
摘要
Abstract
Objective To investigate the clinical value of preimplantation of protective guide wire during transcatheter aortic valve replacement(TAVR)for patients with high coronary risk.Methods Clinical data were collected from two patients with high coronary risk who received the preimplantation of protective guide wire during TAVR in Department of Cardiac Surgery in our hospital in 2021,and a retrospective analysis was performed for their perioperative clinical data.Results Both patients underwent a successful TAVR surgery,among whom one patient had a coronary stent implanted in the left coronary artery,and the other patient only received pre-protection with coronary guide wire and stent,which were removed after surgery.Postoperative angiography showed that both patients had good opening of the artificial interventional valve,mild regurgitation,and coronary ar-tery patency,with varying degrees of alleviation or disappearance of heart failure symptoms after surgery.After 3 months of post-operative follow-up,echocardiography of the two patients showed normal function of the artificial biological valve of the aortic valve,with slight perivalvular regurgitation,and coronary CT angiography showed no obvious abnormality in the coronary artery.Conclusion The technique of protective wire preimplantation is safe and effective in preventing coronary artery occlusion during TAVR.关键词
放射学,介入性/经导管主动脉瓣置换/冠状动脉闭塞/支架/病例报告Key words
Radiology,interventiona/Transcatheter aortic valve replacement/Coronary occlusion/Stents/Case reports分类
医药卫生引用本文复制引用
张航,安景辉,刘苏,马千里,石凤梧..冠脉高风险患者TAVR术中预植保护性导丝2例并文献复习[J].精准医学杂志,2024,39(1):59-62,4.基金项目
2020年政府资助临床医学优秀人才培养项目(20-20397) （20-20397）
