摘要
随着经导管主动脉瓣置换术(transcatheter aortic valve replacement,TAVR)的普及,极简式TAVR正受到越来越多临床研究者的关注。极简式TAVR旨在最大限度地减少侵入性操作,从而在保证TAVR安全性和有效性的前提下简化TAVR操作流程,减少医疗资源占用,减轻患者经济负担。其内容涵盖术前评估、手术人员、场所及入路、麻醉方式、球囊预扩张、术中超声、术后早期康复及出院时机等各个方面。部分回顾性研究已初步证实极简式TAVR开展的可行性,目前有3M TAVR、FAST TAVI等多项临床研究致力于探索极简式TAVR的安全性和有效性。此外,选择合适的患者人群开展极简式TAVR也至关重要。随着技术发展与经验积累,极简式TAVR将受到越来越多临床医师的喜爱。
With the popularity of transcatheter aortic valve replacement(TAVR),minimalist TAVR is drawing more and more attention from clinical researchers.Minimalist TAVR is to minimize invasive manipulations,simplify TAVR procedure,and reduce the occupation of medical resources and the financial burden of patients.The concept of minimalist TAVR contains preoperative assessment,operative personnel,operation room,procedural access,anesthetic technique,balloon pre-dilatation,intraoperative ultrasound,postoperative rehabilitation,timing of discharge,etc.A few pilot retrospective studies have demonstrated the feasibility of minimalist TAVR.Currently,there are clinical studies such as 3M TAVR and FAST TAVI,which are committed to explore the safety and effectiveness of minimalist TAVR.Besides,patient selection is essential for minimalist TAVR.With the development of TAVR technology and the accumulation of clinical experience,more and more clinicians will realize the attractiveness of minimalist TAVR.
作者
朱齐丰
刘先宝
王建安
ZHU Qi-feng;LIU Xian-bao;WANG Jian-an(Department of Cardiovascular,Second Affiliated Hospital of Zhejiang University School of Medicine(SAHZU),Hangzhou 310009,China)
出处
《中国医学前沿杂志（电子版）》
2018年第1期11-14,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
浙江省重大研发计划(浙江省科技厅)--心脏瓣膜病治疗新技术研究(2015C03028)
关键词
极简式
经导管主动脉瓣置换术
临床研究
Minimalist
Transcatheter aortic valve replacement
Clinical study
作者简介
通讯作者:王建安E-mail:wangjianan111@zju.edu.cn
