经导管主动脉瓣置换术后冠状动脉阻塞的研究进展

【摘要】冠状动脉阻塞是经导管主动脉瓣置换术后一种罕见且预后极差的并发症，提高对这类并发症的早期识别、积极预防和及时治疗对减少该并发症的不良后果具有重要意义。现在综合现有文献研究的基础上，总结经导管主动脉瓣置换术后冠状动脉阻塞发生原因、发生率、危险因素、预防、治疗措施和预后的相关研究进展。

【关键词】经导管主动脉瓣置换术；冠状动脉阻塞；并发症

【DOI】10.16806/j.cnki.issn.1004-3934.2023.05.005Coronary Occlusion of Transcatheter Aortic Valve ReplacementHU Zheng，CHEN Xiangzhou，CHEN Jing

（Department of Cardiology，Renmin Hospital of Wuhan University，Wuhan 430000，Hubei，China）【Abstract】Coronary occlusion is a rare complication of transcatheter aortic valve replacement with poor prognosis.It is of great significance to improve the early identification， prevention and treatment of such complications to reduce the adverse consequences.This article reviews the cause，incidence，risk factors，prevention，treatment，and prognosis of coronary occlusion of transcatheter aortic valve replacement based on the existing study.

【Key words】Transcatheter aortic valve replacement；Coronary occlusion；Complication

近年来，经导管主动脉瓣置换术（transcatheter aortic valve replacement，TAVR）在中国快速发展，已成为有中高危外科换瓣风险的中重度主动脉瓣狭窄患者的替代治疗方案［1-2］。（剩余12568字）