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JACC：经导管主动脉瓣置入（TAVI）可用于主动脉瓣反流

2013-03-09 高晓方 译 医学论坛网

经导管主动脉瓣置入TAVI主动脉瓣反流
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　　英国学者的一项研究表明，利用经导管主动脉瓣置入（TAVI）治疗天然主动脉瓣反流（NAVR）可行但具有一定难度。论文于2013年2月14日在线发表于《美国心脏病学会杂志》（J Am Coll Cardiol）。 　　此项回顾性研究从14个中心共纳入43例接受TAVI的患者。受试者平均年龄75.3 ± 8.8岁，女性为53%，平均Logistic

　　英国学者的一项研究表明，利用经导管主动脉瓣置入（TAVI）治疗天然主动脉瓣反流（NAVR）可行但具有一定难度。论文于2013年2月14日在线发表于《美国心脏病学会杂志》（J Am Coll Cardiol）。 　　此项回顾性研究从14个中心共纳入43例接受TAVI的患者。受试者平均年龄75.3 ± 8.8岁，女性为53%，平均Logistic EuroSCORE为26.9 ± 17.9%，平均胸外科医师学会评分为10.2 ± 5.3%。回顾性采集患者基线特征数据、器械和操作参数、超声心动图指标和转归。 　　结果显示，所有伴严重NAVR的患者均无超声心动图显示的主动脉狭窄；17例（39.5%）患者具有CT或超声心动图所示的主动脉瓣钙化程度。经股动脉、锁骨下动脉、直接大动脉和颈动脉血管入路的患者分别为35、4、3和1例。TAVI于42例（97.7%）患者中实施，8例患者（18.6%）因主动脉反流存在而需第二瓣膜治疗。在需第二瓣膜置入的患者中心瓣膜钙化均不存在（p = 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1853218, encodeId=46ba185321833, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue Jul 09 09:11:00 CST 2013, time=2013-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1634740, encodeId=37f91634e4088, content=<a href='/topic/show?id=d76223185de' target=_blank style='color:#2F92EE;'>#主动脉瓣反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23185, encryptionId=d76223185de, topicName=主动脉瓣反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d7a22278874, createdName=ms2999106592497887, createdTime=Thu Aug 29 03:11:00 CST 2013, time=2013-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324804, encodeId=1f0213248048e, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332348, encodeId=f9ce133234823, content=<a href='/topic/show?id=1dd6231822d' target=_blank style='color:#2F92EE;'>#主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23182, encryptionId=1dd6231822d, topicName=主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc4b2500077, createdName=hittouch, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1414949, encodeId=11a2141494992, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510018, encodeId=1c901510018c7, content=<a href='/topic/show?id=e9bce8254ef' target=_blank style='color:#2F92EE;'>#经导管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78254, encryptionId=e9bce8254ef, topicName=经导管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e010191378, createdName=lsj631, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571538, encodeId=e50115e153840, content=<a href='/topic/show?id=41e33e76137' target=_blank style='color:#2F92EE;'>#反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37761, encryptionId=41e33e76137, topicName=反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=220d15750403, createdName=feifers, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=)]
    2013-07-09 hbwxf

    #JACC#

    0

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    2013-08-29 ms2999106592497887

    #主动脉瓣反流#

    0

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    2013-03-11 12498568m50暂无昵称

    #ACC#

    0

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    2013-03-11 hittouch

    #主动脉瓣#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1853218, encodeId=46ba185321833, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue Jul 09 09:11:00 CST 2013, time=2013-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1634740, encodeId=37f91634e4088, content=<a href='/topic/show?id=d76223185de' target=_blank style='color:#2F92EE;'>#主动脉瓣反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23185, encryptionId=d76223185de, topicName=主动脉瓣反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d7a22278874, createdName=ms2999106592497887, createdTime=Thu Aug 29 03:11:00 CST 2013, time=2013-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324804, encodeId=1f0213248048e, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332348, encodeId=f9ce133234823, content=<a href='/topic/show?id=1dd6231822d' target=_blank style='color:#2F92EE;'>#主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23182, encryptionId=1dd6231822d, topicName=主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc4b2500077, createdName=hittouch, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1414949, encodeId=11a2141494992, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510018, encodeId=1c901510018c7, content=<a href='/topic/show?id=e9bce8254ef' target=_blank style='color:#2F92EE;'>#经导管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78254, encryptionId=e9bce8254ef, topicName=经导管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e010191378, createdName=lsj631, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571538, encodeId=e50115e153840, content=<a href='/topic/show?id=41e33e76137' target=_blank style='color:#2F92EE;'>#反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37761, encryptionId=41e33e76137, topicName=反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=220d15750403, createdName=feifers, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=)]
    2013-03-11 circumcision

    #主动脉#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1853218, encodeId=46ba185321833, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue Jul 09 09:11:00 CST 2013, time=2013-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1634740, encodeId=37f91634e4088, content=<a href='/topic/show?id=d76223185de' target=_blank style='color:#2F92EE;'>#主动脉瓣反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23185, encryptionId=d76223185de, topicName=主动脉瓣反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d7a22278874, createdName=ms2999106592497887, createdTime=Thu Aug 29 03:11:00 CST 2013, time=2013-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324804, encodeId=1f0213248048e, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332348, encodeId=f9ce133234823, content=<a href='/topic/show?id=1dd6231822d' target=_blank style='color:#2F92EE;'>#主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23182, encryptionId=1dd6231822d, topicName=主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc4b2500077, createdName=hittouch, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1414949, encodeId=11a2141494992, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510018, encodeId=1c901510018c7, content=<a href='/topic/show?id=e9bce8254ef' target=_blank style='color:#2F92EE;'>#经导管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78254, encryptionId=e9bce8254ef, topicName=经导管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e010191378, createdName=lsj631, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571538, encodeId=e50115e153840, content=<a href='/topic/show?id=41e33e76137' target=_blank style='color:#2F92EE;'>#反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37761, encryptionId=41e33e76137, topicName=反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=220d15750403, createdName=feifers, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=)]
    2013-03-11 lsj631

    #经导管#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1853218, encodeId=46ba185321833, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue Jul 09 09:11:00 CST 2013, time=2013-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1634740, encodeId=37f91634e4088, content=<a href='/topic/show?id=d76223185de' target=_blank style='color:#2F92EE;'>#主动脉瓣反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23185, encryptionId=d76223185de, topicName=主动脉瓣反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d7a22278874, createdName=ms2999106592497887, createdTime=Thu Aug 29 03:11:00 CST 2013, time=2013-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1324804, encodeId=1f0213248048e, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332348, encodeId=f9ce133234823, content=<a href='/topic/show?id=1dd6231822d' target=_blank style='color:#2F92EE;'>#主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23182, encryptionId=1dd6231822d, topicName=主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc4b2500077, createdName=hittouch, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1414949, encodeId=11a2141494992, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510018, encodeId=1c901510018c7, content=<a href='/topic/show?id=e9bce8254ef' target=_blank style='color:#2F92EE;'>#经导管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78254, encryptionId=e9bce8254ef, topicName=经导管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e010191378, createdName=lsj631, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571538, encodeId=e50115e153840, content=<a href='/topic/show?id=41e33e76137' target=_blank style='color:#2F92EE;'>#反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37761, encryptionId=41e33e76137, topicName=反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=220d15750403, createdName=feifers, createdTime=Mon Mar 11 14:11:00 CST 2013, time=2013-03-11, status=1, ipAttribution=)]
    2013-03-11 feifers

    #反流#

    0