west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "罗建方" 4 results
  • Complications and management of transcatheter edge-to-edge mitral valve repair

    Mitral regurgitation has high morbidity and mortality. The application of transcatheter edge-to-edge mitral valve repair (TEER) has provided more options for the management of primary and secondary mitral regurgitation. With the accumulation of operator experience, the improvement of equipment, and the optimization of intraoperative imaging, TEER can be applied to more complex or critically ill patients. The incidence of TEER-related adverse events is low, but some complications that may occur are potentially dangerous. TEER-related complications and their treatment methods are the guarantee of safe and effective operation. This article discusses the main possible complications of TEER and the corresponding management strategies.

    Release date: Export PDF Favorites Scan
  • 一例二叶式主动脉瓣狭窄患者的手术处理

    患者,女,75岁。因“胸闷 3 年,加重伴乏力 2 个月”入院。患者既往因冠状动脉粥样硬化性心脏病于左前降支植入支架 2 枚。目前检查结果示:主动脉瓣重度狭窄并轻度反流,主动脉瓣二叶式畸形。因患者术前评估提示美国胸外科医师学会评分 17.9%,外科手术高危。经心脏团队讨论后,最终通过经导管主动脉瓣植入术解除主动脉瓣狭窄。

    Release date:2018-02-26 05:32 Export PDF Favorites Scan
  • Transcatheter aortic valve replacement complicated with coronary obstruction and retroperitoneal hematoma: a case report

    This article presented the clinical diagnosis and management of a patient with severe aortic regurgitation and moderate aortic stenosis who underwent transcatheter aortic valve replacement complicated with coronary obstruction and retroperitoneal hematoma. The hemodynamics collapsed during the procedure, and transcatheter aortic valve replacement was performed under support of extracorporeal membrane oxygenation and coronary protection. After a negative coronary angiography, the wire was extracted, but a repeated angiography showed left coronary obstruction, so a coronary stent was implanted to the ostium of left coronary artery through the grid of the valve stent. Abdominal CT showed a giant retroperitoneal hematoma 2 weeks after transcatheter aortic valve replacement, and the emergent angiography indicated contrast leakage from left external iliac artery, so a balloon compression was performed followed by a covered stent implantation. This article also provided the clinical characteristics, risk factors and management of coronary obstruction and vascular complication for clinical reference.

    Release date:2020-10-26 03:00 Export PDF Favorites Scan
  • Research progress of application of transcatheter aortic valve replacement in the bicuspid aortic valve stenosis

    Patients with bicuspid aortic valve (BAV) are characterized by asymmetric anatomy, severe calcification and combined aortic dilatation. Compared with tricuspid aortic valve stenosis patients, patients with BAV stenosis confront with greater surgical risks in transcatheter aortic valve replacement (TAVR), including paravalvular leak, aortic valve rupture, coronary artery obstruction, atrioventricular block and so on. However, with the advent of new generation of prosthetic valves and optimization of surgical strategies, several studies have shown that TAVR is safe and effective in the treatment of BAV stenosis. Therefore, we aim to provide an overview of the use of TAVR in patients with BAV stenosis.

    Release date:2023-07-25 03:57 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content