超声心动图在AS患者TAVR术后监测中的应用OA
The application of echocardiography in the follow-up of patients with severe AS after TAVR
超声心动图作为重度主动脉瓣狭窄(Aortic stenosis,AS)患者经导管主动脉瓣置换术(Transcatheter aortic valve replacement,TAVR)术后随访的首选影像学检查方法,在术后评估中具有重要临床价值.本文综述了超声心动图在TAVR术后监测中的应用,重点探讨其在人工经导管心脏瓣膜(Transcatheter heart valve,THV)功能评估、左心及右心室功能动态监测以及术后并发症早期识别等方面的作用.结果表明,超声心动图通过多参数、多切面分析,可为THV功能异常及术后并发症的诊断提供可靠依据,优化临床决策.此外,随着三维超声、应变成像等新技术的应用,超声心动图为TAVR术后管理的优化提供了新的视角.
Echocardiography is the preferred imaging modality for follow-up in patients with severe aortic stenosis(AS)after transcatheter aortic valve replacement(TAVR).It plays a critical role in postoperative evaluation.This review systematically summarizes the application of echocardiography in post-TAVR monitoring,with a focus on its value in assessing transcatheter heart valve(THV)function,tracking dynamic changes in left and right ventricular function,and identifying postoperative complications at an early stage.The findings suggest that echocardiography,through multiparametric and multiplanar analysis,provides reliable evidence for diagnosing THV dysfunction and complications,thereby optimizing clinical decision-making.Moreover,the advent of novel techniques such as three-dimensional echocardiography and strain imaging offers new perspectives for improving post-TAVR management.
彭松林;廖福顺;游宇光
赣南医科大学第一临床医学院赣南医科大学第一临床医学院赣南医科大学第一附属医院超声医学科,江西 赣州 341000
医药卫生
超声心动图经导管主动脉瓣置换术主动脉瓣狭窄
EchocardiographyTranscatheter aortic valve replacementAortic stenosis
《赣南医科大学学报》 2026 (1)
36-42,7
评论