TAVI后冠状动脉闭塞:安全策略报告

Revista Brasileira de Cardiologia Invasiva Pub Date : 2015-04-01 DOI:10.1016/j.rbci.2015.12.017

Fabio Rodrigo Furini , Valter Correia de Lima , Fabio Sândoli de Brito Jr. , Alessandra Teixeira de Oliveira , Marcela da Cunha Sales , Fernando Antonio Lucchese

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引用次数: 0

摘要

经导管主动脉瓣植入术(TAVI)是手术风险高的主动脉瓣狭窄患者和许多被认为无法手术的患者的替代选择。尽管它具有微创的特点，但可能会发生与手术相关的并发症。冠状动脉阻塞在TAVI期间是一种罕见的(发生率小于1%)，但潜在致命的并发症。在巴西，经导管主动脉瓣植入登记的418例病例中有3例(0.72%的手术中发现了这种并发症)，院内死亡率为100%。本病例报告介绍TAVI术后冠状动脉闭塞的预防和治疗措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Oclusão coronariana após TAVI: relato de estratégia de segurança

Transcatheter aortic valve implantation (TAVI) is an alternative for patients with aortic stenosis at high surgical risk and for many of those considered inoperable. Despite its minimally invasive features, complications related to the procedure may occur. Coronary obstruction during TAVI is a rare (incidence rate of less than 1%) but potentially lethal complication. In Brazil, this complication was found in 0.72% of procedures – three of 418 cases from the Brazilian Transcatheter Aortic Valve Implantation Registry – with an in‐hospital mortality rate of 100%. This case report presents prevention and treatment measures for coronary occlusion after TAVI.

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Revista Brasileira de Cardiologia Invasiva

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