重度二叶主动脉瓣狭窄的经导管主动脉瓣置换术
Ahn, J.M., Kumar, S., Ko, E., Mohammed, G., Hayashida, K., Yin, W.H., Jilaihawi, H., Makkar, R., Kim, W.K., Palmerini, T., An, S.Y., Kim, J.H., Kang, D.Y., Kim, J.B., Cohen, D.J., Capodanno, D., Park, D.W., & Park, S.J. (2026). Transcatheter Aortic Valve Replacement for Severe Bicuspid Aortic Valve Stenosis. Circulation: Cardiovascular Interventions. https://doi.org/10.1161/CIRCINTERVENTIONS.125.016014
Ahn JM, Kumar S, Ko E, Mohammed G, Hayashida K, Yin WH, et al. Transcatheter Aortic Valve Replacement for Severe Bicuspid Aortic Valve Stenosis. Circulation: Cardiovascular Interventions. 2026; doi: 10.1161/CIRCINTERVENTIONS.125.016014
Ahn JM, Kumar S, Ko E, et al. Transcatheter Aortic Valve Replacement for Severe Bicuspid Aortic Valve Stenosis[J]. Circulation: Cardiovascular Interventions. 2026. DOI: 10.1161/CIRCINTERVENTIONS.125.016014.
@article{ahn2026,
author = {Jung-Min Ahn and Sant Kumar and Euihong Ko and Gossadi Mohammed and Kentaro Hayashida and Wei-Hsian Yin and Hasan Jilaihawi and Raj Makkar and Won-Keun Kim and Tullio Palmerini and Soo Yeon An and Ju Hyeon Kim and Do-Yoon Kang and Joon Bum Kim and David J Cohen and Davide Capodanno and Duk-Woo Park and Seung-Jung Park},
title = {Transcatheter Aortic Valve Replacement for Severe Bicuspid Aortic Valve Stenosis},
journal = {Circulation: Cardiovascular Interventions},
year = {2026},
doi = {10.1161/CIRCINTERVENTIONS.125.016014},
note = {PMID: 41853875},
}
TY - JOUR AU - Jung-Min Ahn AU - Sant Kumar AU - Euihong Ko AU - Gossadi Mohammed AU - Kentaro Hayashida AU - Wei-Hsian Yin AU - Hasan Jilaihawi AU - Raj Makkar AU - Won-Keun Kim AU - Tullio Palmerini AU - Soo Yeon An AU - Ju Hyeon Kim AU - Do-Yoon Kang AU - Joon Bum Kim AU - David J Cohen AU - Davide Capodanno AU - Duk-Woo Park AU - Seung-Jung Park TI - Transcatheter Aortic Valve Replacement for Severe Bicuspid Aortic Valve Stenosis T2 - Circulation: Cardiovascular Interventions PY - 2026 DO - 10.1161/CIRCINTERVENTIONS.125.016014 AN - PMID:41853875 ER -
外科主动脉瓣置换术一直是有症状重度退行性主动脉瓣狭窄患者的标准治疗方案。近年来，经导管主动脉瓣置换术在特定患者群体中已成为成熟的替代治疗方案，在三叶瓣狭窄方面有强有力的循证支持。然而，经导管主动脉瓣置换术在二叶主动脉瓣狭窄中的评估仍有限。最近，多项观察性研究证实了经导管主动脉瓣置换术在二叶主动脉瓣狭窄中的可行性和安全性，新一代器械的使用显示出令人鼓舞的结果。然而，与三叶瓣狭窄相比，二叶主动脉瓣狭窄患者中瓣周反流、永久性起搏器植入和主动脉根部损伤等手术并发症的发生率更高。本文综述了经导管主动脉瓣置换术治疗二叶主动脉瓣狭窄的临床证据，并就患者和器械选择、植入技术及进一步管理的适当标准提出了建议。