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Volume 34 Issue 3
May  2022
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Article Contents
Tao CHEN, Jian YANG, Yang LIU, Ping JIN, Yan-yan MA, Zhen-xiao JIN, Meng-en ZHAI. Clinical application of extracorporeal circulation in transcatheter aortic valve replacement[J]. Chinese Heart Journal, 2022, 34(3): 320-324. doi: 10.12125/j.chj.202107084
Citation: Tao CHEN, Jian YANG, Yang LIU, Ping JIN, Yan-yan MA, Zhen-xiao JIN, Meng-en ZHAI. Clinical application of extracorporeal circulation in transcatheter aortic valve replacement[J]. Chinese Heart Journal, 2022, 34(3): 320-324. doi: 10.12125/j.chj.202107084

Clinical application of extracorporeal circulation in transcatheter aortic valve replacement

doi: 10.12125/j.chj.202107084
  • Received Date: 2021-07-27
  • Rev Recd Date: 2021-11-15
  • Available Online: 2022-05-30
  • Publish Date: 2022-06-25
  •   AIM  To explore the application of extracorporeal circulation in transcatheter aortic valve replacement (TAVR).   METHODS  We retrospectively analyzed 25 consecutive cases of TAVR assisted by extracorporeal circulation completed from May 2018 to December 2019 in the Department of Cardiovascular Surgery of Xijing Hospital, and compared the efficacy of extracorporeal membrane oxygenation (ECMO, n=8) and cardiopulmonary bypass (CPB, n=15), the left two patients received CPB and ECMO one after another. Besides, we compared the basic conditions of patients in emergency (n=13) and non-emergency (n=12) groups based on clinical experience.   RESULTS  Compared with the ECMO group, the ratio of male and body weight were lower and the ejection fraction was higher in the CPB group (all P<0.05). Compared with the non-emergency group, the ratio of male and body weight were lower and the ejection fraction was higher in the emergency group (all P<0.05). Compared with the ECMO group, the operation time was significantly increased in the CPB group (P<0.01). Compared with the non-emergency group, the operation time was significantly increased in the emergency group (P<0.01). Compared with the ECMO group, postoperative arterial blood PaO2 (P<0.01) was increased, postoperative urine volume (P<0.01) and CCU time (P<0.01) were significantly decreased in the CPB group. Compared with the non-emergency group, postoperative arterial blood PaO2 (P<0.01), postoperative urine volume (P<0.01) and CCU time (P<0.01) were significantly increased in the non-emergency group.   CONCLUSION  Extracorporeal circulation is necessary in the process of TAVR. CPB should be the first choice for circulatory assistance, followed by ECMO. But, the circulatory assistance method should be flexibly selected based on the specific conditions of the patient and various emergencies during the operation so as to achieve the best results.

     

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  • [1]
    金 屏, 刘 洋, 唐嘉佑, 等. 体外膜肺氧合辅助下经导管主动脉瓣置换术的临床应用研究[J]. 精准医学杂志, 2018, 33(2): 110 – 114. doi: 10.13362/j.jpmed.201802005
    [2]
    Yoon SH, Schmidt T, Bleiziffer S, et al. Transcatheter aortic valve replacement in pure native aortic valve regurgitation[J]. J Am Coll Cardiol, 2017, 70(22): 2752 – 2763. doi: 10.1016/j.jacc.2017.10.006
    [3]
    Ravalli F, Kossar AP, Takayama H, et al. Aortic valve regurgitation: pathophysiology and implications for surgical intervention in the era of TAVR[J]. Struct Heart, 2020, 4(2): 87 – 98. doi: 10.1080/24748706.2020.1719446
    [4]
    吴永健. 经导管主动脉瓣置换术的现状、研究热点和未来展望[J]. 中国循环杂志, 2017, 32(2): 120 – 122. doi: 10.3969/j.issn.1000-3614.2017.02.002
    [5]
    赵庆豪, 宋光远, 吴永健. 2019年经导管主动脉瓣置换术研究进展[J]. 中华心血管病杂志(网络版), 2020, 03(1): 1 – 6. doi: 10.3760/cma.j.issn.2096-1588.2020.1000060
    [6]
    张甲易, 吴思佳, 江 磊. 经导管主动脉瓣置换术治疗二叶式主动脉瓣畸形的研究进展[J]. 中国心血管杂志, 2021, 26(1): 86 – 88. doi: 10.3969/j.issn.1007-5410.2021.01.022
    [7]
    Mubashir T, Balogh J, Chaudhry R, et al. Transcatheter and surgical aortic valve replacement outcomes for patients with chronic heart failure[J]. J CardiothoracVasc Anesth, 2021, 35(3): 888 – 895. doi: 10.1053/j.jvca.2020.06.082
    [8]
    Young M N, Inglessis I. Transcatheter aortic valve replacement: Outcomes, indications, complications, and innovations[J]. Curr Treat Options Cardiovasc Med, 2017, 19(10): 81. doi: 10.1007/s11936-017-0580-0
    [9]
    Toutouzas K, Synetos A, Latsios G, et al. The requirement of extracorporeal circulation system for transluminal aortic valve replacement: Do we really need it in the catheterization laboratory?[J]. Catheter Cardiovasc Interv, 2018, 91(5): E43 – E48. doi: 10.1002/ccd.25988
    [10]
    Piñón M, Paredes E, Acuña B, et al. Frailty, disability and comorbidity: different domains lead to different effects after surgical aortic valve replacement in elderly patients[J]. Interact CardiovascThorac Surg, 2019, 29(3): 371 – 377. doi: 10.1093/icvts/ivz093
    [11]
    李兰兰, 王建浩, 逯登辉, 等. 3D打印技术辅助经皮介入治疗主动脉瓣狭窄20例临床治疗分析[J]. 中华胸心血管外科杂志, 2019, 35(9): 561 – 563. doi: 10.3760/cma.j.issn.1001-4497.2019.09.013
    [12]
    丁 鹏, 徐臣年, 杨 剑. 3D打印技术在经导管主动脉瓣置换术中的应用[J]. 中国介入心脏病学杂志, 2020, 28(5): 280 – 282. doi: 10.3969/j.issn.1004-8812.2020.05.009
    [13]
    刘 洋, 丁 鹏, 程 亮, 等. 体外膜肺氧合辅助经导管主动脉瓣植入治疗极低射血分数值的重度主动脉瓣狭窄[J]. 中国体外循环杂志, 2019, 17(1): 13 – 17. doi: 10.13498/j.cnki.chin.j.ecc.2019.01.04
    [14]
    Alkhalil A, Hajjar R, Ibrahim H, et al. Mechanical circulatory support in transcatheter aortic valve implantation in the United States (from the national inpatient sample)[J]. Am J Cardiol, 2019, 124(10): 1615 – 1620. doi: 10.1016/j.amjcard.2019.08.013
    [15]
    Singh V, Damluji AA, Mendirichaga R, et al. Elective or emergency use of mechanical circulatory support devices during transcatheter aortic valve replacement[J]. J Interv Cardiol, 2016, 29(5): 513 – 522. doi: 10.1111/joic.12323
    [16]
    于 坤, 王子珩, 黑飞龙. 机械循环支持在经导管主动脉瓣置换术中的运行策略[J]. 中国体外循环杂志, 2018, 16(4): 252 – 256. doi: 10.13498/j.cnki.chin.j.ecc.2018.04.14
    [17]
    Drews T, Pasic M, Buz S, et al. Elective use of femoro-femoral cardiopulmonary bypass during transcatheter aortic valve implantation[J]. Eur J Cardiothorac Surg, 2015, 47(1): 24 – 30,discussion 30. doi: 10.1093/ejcts/ezu088
    [18]
    Uehara K, Minakata K, Saito N, et al. Use of extracorporeal membrane oxygenation in complicated transcatheter aortic valve replacement[J]. Gen ThoracCardiovasc Surg, 2017, 65(6): 329 – 336. doi: 10.1007/s11748-017-0757-1
    [19]
    Vallabhajosyula S, Patlolla SH, Sandhyavenu H, et al. Periprocedural cardiopulmonary bypass or venoarterial extracorporeal membrane oxygenation during transcatheter aortic valve replacement: a systematic review[J]. J Am Heart Assoc, 2018, 7(14): e009608. doi: 10.1161/JAHA.118.009608
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