[Application of antegrade wire and guide wire-capture technique in transcatheter aortic valve implantation: three cases report]

Zhonghua Xin Xue Guan Bing Za Zhi. 2022 Feb 24;50(2):183-185. doi: 10.3760/cma.j.cn112148-20210611-00496.
[Article in Chinese]

Abstract

经导管主动脉瓣植入术（TAVI）已成为重度主动脉瓣狭窄（AS）的主要治疗方法之一，尤其是对于具有外科手术禁忌或中、高危风险的高龄患者。手术过程中，部分患者由于瓣膜口极度狭小且瓣膜结构不清、瓣叶冗长/黏连/严重钙化等，导丝逆向跨主动脉瓣进入左心室建立轨道的难度较大，由此导致并发症发生率增高、手术成功率降低。该文报道3例重度AS患者行TAVI手术过程中因导丝逆向跨瓣困难而采用顺向导丝结合导丝抓捕技术，成功且快速建立轨道，取得了良好的临床效果。.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / surgery
  • Cardiac Catheterization / methods
  • Heart Valve Prosthesis Implantation*
  • Heart Valve Prosthesis*
  • Humans
  • Transcatheter Aortic Valve Replacement* / methods
  • Treatment Outcome