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首页> 外文期刊>Journal of cardiac surgery. >The transcervical access for transcatheter aortic valve replacement
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The transcervical access for transcatheter aortic valve replacement

机译：经沟管主动脉瓣置换的跨诊流接入

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Alternative accesses for transcatheter aortic valve replacement (TAVR) are needed in a certain number of patients, who present contraindications to the standard transfemoral access. We present the transcervical approach, which allows to access the aortic valve via supra-aortic vessels, namely, the brachiocephalic trunk, carotid artery, or subclavian artery. This approach is interesting because it avoids thoracotomy, which is necessary with some other alternative approaches for TAVR, such as the transaortic or transapical ones. Although some points still need clarification, such as the best anesthesia modality (general or local) or the optimal side for vessel access, data suggest the transcervical access might yield similar periprocedural and 30-day outcomes compared with the transfemoral access. Herein, we describe the surgical technique that was developed in our institution for transcervical access.
机译：一定数量的患者需要经导管主动脉瓣置换术（TAVR）的替代途径，这些患者存在标准经股动脉途径的禁忌症。我们介绍了经颈入路，它允许通过主动脉上血管进入主动脉瓣，即头臂干、颈动脉或锁骨下动脉。这种方法很有趣，因为它避免了开胸手术，而开胸手术是TAVR的其他替代方法所必需的，例如经主动脉或经头顶的方法。尽管仍有一些问题需要澄清，例如最佳麻醉方式（全身或局部）或血管通路的最佳侧，但数据表明，与经股动脉通路相比，经宫颈通路可能会产生类似的围手术期和30天结果。在此，我们描述了我们研究所为经宫颈途径开发的外科技术。

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