کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3018613 | 1182177 | 2010 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Intraoperative Monitoring With Transesophageal Real-Time Three-Dimensional Echocardiography During Transapical Prosthetic Aortic Valve Implantation Intraoperative Monitoring With Transesophageal Real-Time Three-Dimensional Echocardiography During Transapical Prosthetic Aortic Valve Implantation](/preview/png/3018613.png)
Degenerative aortic stenosis is the most common valvulopathy in Europe. In symptomatic patients, aortic valve replacement with a prosthesis substantially improves prognosis. However, a high percentage of candidates for valve replacement surgery are rejected because of the high risk of serious complications. In recent years, percutaneous and minimally invasive surgical techniques have been developed for the transcatheter implantation of prosthetic aortic valves. These developments could lead to an increase in the number of interventions carried out in high-risk patients as the positive effect of treatment on prognosis would be retained while the complication rate would be reduced. We describe the use of transesophageal echocardiography (TEE) for intraoperative monitoring in 21 patients who underwent transcatheter aortic valve replacement using a transapical approach, and report morphologic findings, hemodynamic results, and complications observed. We propose a standard approach to imaging, in which real-time three-dimensional TEE is used to provide additional information during intraoperative monitoring of transapical transcatheter aortic valve replacement.
La estenosis aórtica degenerativa es la valvulopatía más frecuente en Europa. En pacientes sintomáticos, la sustitución valvular aórtica por una prótesis mejora su pronóstico. Un elevado porcentaje de candidatos a cirugía de reemplazo valvular son desestimados por elevado riesgo de complicaciones graves. En los últimos años, se han desarrollado técnicas percutáneas o quirúrgicas mínimamente invasivas de implantación de prótesis valvular aórtica transcatéter (PATC), que persiguen elevar la tasa de intervención en pacientes de alto riesgo manteniendo los beneficios en el pronóstico y disminuyendo las complicaciones.Describimos el protocolo de supervisión intraoperatoria con ecocardiografía transesofágica (ETE), hallazgos morfológicos, resultados hemodinámicos y complicaciones detectadas en 21 pacientes sometidos a la implantación de PATC por abordaje transapical. Proponemos una estandarización de la exploración, en la que la ETE tridimensional en tiempo real aportaría información adicional en la supervisión intraoperatoria de implantación por vía transapical de la PATC.
Journal: Revista Española de Cardiología (English Edition) - Volume 63, Issue 3, March 2010, Pages 352-356