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Современное состояние проблемы транскатетерного репротезирования клапанов сердца по методике «клапан-в-клапан»
Современное состояние проблемы транскатетерного репротезирования клапанов сердца по методике «клапан-в-клапан»
Имаев Т.Э., Комлев А.Е., Колегаев А.С. и др. Современное состояние проблемы транскатетерного репротезирования клапанов сердца по методике «клапан-в-клапан». Consilium Medicum. 2016; 18 (5): 89–92. DOI: 10.26442/2075-1753_2016.5.89-92
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Аннотация
Методика транскатетерного протезирования клапанов сердца, широко используемая в клинической практике в настоящее время, нашла свое применение и в проблеме повторного протезирования. Транскатетерное репротезирование клапанов сердца подразумевает имплантацию биопротеза «клапан-в-клапан» и на сегодняшний день является единственным методом, который позволяет существенно снизить риски оперативного лечения. Ниже описаны основные принципы планирования процедуры имплантации «клапан-в-клапан», а также современное состояние проблемы и перспективы развития данного направления.
Ключевые слова: аортальный клапан, митральный клапан, репротезирование клапана, техника «клапан-в- клапан», пациенты высокого хирургического риска, транскатетерное протезирование аортального клапана,транскатетерная имплантация аортального клапана, биологические протезы клапанов сердца, повторная операция на сердце, структурные заболевания сердца, транскатетерное протезирование митрального клапана.
Ключевые слова: аортальный клапан, митральный клапан, репротезирование клапана, техника «клапан-в- клапан», пациенты высокого хирургического риска, транскатетерное протезирование аортального клапана,транскатетерная имплантация аортального клапана, биологические протезы клапанов сердца, повторная операция на сердце, структурные заболевания сердца, транскатетерное протезирование митрального клапана.
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Transcatheter heart valve replacement is widely used in clinical practice, and this technic founds the application in repeated valve replacements nowadays. Transcatheter heart valve re-replacement is a procedure of valve-in-valve implantation into a deteriorated bioprosthesis and is the only method which can significantly reduce the risk of surgical treatment, nowadays. The article describes the basic principles in the planning of valve-in-valve implantation, as well as the current status of the problem and the prospects for the development of this direction.
Key words: aortic valve, mitral valve, valve re-replacement, the valve-in-valve technique, high risk surgical patients, transcatheter aortic valve replacement, biological prosthetic heart valves, repeated cardiac surgery, structural heart disease, transcatheter mitral valve prosthesis.
Key words: aortic valve, mitral valve, valve re-replacement, the valve-in-valve technique, high risk surgical patients, transcatheter aortic valve replacement, biological prosthetic heart valves, repeated cardiac surgery, structural heart disease, transcatheter mitral valve prosthesis.
Полный текст
Список литературы
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20. Webb JG, Wood DA, Ye J et al. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves. Circulation 2010; 121: 1848–57.
21. Cheung AW, Gurvitch R, Ye J et al. Transcatheter transapical mitral valve-in-valve implantations for a failed bioprosthesis: a case series. J Thorac Cardiovasc Surg 2011; 141: 711–5.
2. Gurvitch R, Cheung A, Wood DA et al. Transcatheter. Valve-in-Valve Implantation for Failed Surgical Bioprosthetic Valves. J Am Coll Cardiol 2011; 58 (21).
3. Bapat V, Mydin I, Chadalavada S et al. A Guide to Fluoroscopic Identification and Design of Bioprosthetic Valves: A Reference for Valve-in-Valve Procedure. Cathet Cardiovasc Int DOI 10.1002/ccd.
4. Piazza N, Bleiziffer S, Brockmann G et al. Transcatheter Aortic Valve Implantation for Failing Surgical Aortic Bioprosthetic Valve. J Am Coll Cardiol Intv 2011; 4 (7): 721–32.
5. Piazza N, Bleiziffer S, Brockmann G et al. Transcatheter Aortic Valve Implantation for Failing Surgical Aortic Bioprosthetic Valve: From Concept to Clinical Application and Evaluation (Part 2). JACC: Cardiovascular Interventions 2011; 4 (7): 733–42.
6. Descoutures F, Himbert D, Maisano F et al. Transcatheter valve-in-ring implantation after failure of surgical mitral repair. Eur J Cardiothorac Surg 2013; 44 (1): e8–15.
7. Silberman S, Oren A, Dotan M. Aortic valve replacement: choice between mechanical valves and bioprostheses. J Card Surg 2008; 23: 299–306.
8. Brown JM, O'Brien SM, Wu C et al. Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg 2009; 137: 82–90.
9. Vogt PR, Brunner-LaRocca H, Sidler P. Reoperative surgery for degenerated aortic bioprostheses: predictors for emergency surgery and reoperative mortality. Eur J Cardiothorac Surg 2000; 17: 134–9.
10. Jones JM, O'Kane H, Gladstone DJ. Repeat heart valve surgery: risk factors for operative mortality. J Thorac Cardiovasc Surg 2001; 122: 913–8.
11. Ruel M, Kulik A, Rubens FD. Late incidence and determinants of reoperation in patients with prosthetic heart valves. Eur J Cardiothorac Surg 2004; 25: 364–70.
12. Jaussaud N, Gariboldi V, Giorgi R. Risk of reoperation for aortic bioprosthesis dysfunction. J Heart Valve Dis 2009; 18: 256–61.
13. Wenaweser P, Buellesfeld L, Gerckens U, Grube E. Percutaneous aortic valve replacement for severe aortic regurgitation in degenerated bioprosthesis: the first valve in valve procedure using the CoreValve revalving system. Cathet Cardiovasc Int 2007; 70: 760–4.
14. Pasic M, Unbehaun A, Dreysse S et al. Transapical aortic valve implantation after previous aortic valve replacement: clinical proof of the ‘‘valve-in-valve’’ concept. J Thorac Cardiovasc Surg 2011; 142: 270–7.
15. Kempfert J, Van Linden A, Linke A et al. Transapical off-pump valve-in-valve implantation in patients with degenerated aortic xenografts. Ann Thorac Surg 2010; 89: 1934–41.
16. Dvir D, Webb J, Brecker S et al. Transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: results from the global valve-in-valve registry. Circulation 2012; 126: 2335–44.
17. Bonow RO, Carabello BA, Chatterjee K et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guide-lines (writing Committee to Revise the 1998 guidelines for the manage-ment of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Soci-ety of Thoracic Surgeons. J Am Coll Cardiol 2006; 48: e1–e148.
18. Bruschi G, Barosi A, Colombo P et al. Direct transatrial transcatheter SAPIEN valve implantation through right minithoracotomy in a degenerated mitral bioprosthetic valve. Ann Thorac Surg 2012; 93: 1708–10.
19. Montorfano M, Latib A, Chieffo A et al. Successful Percutaneous Anterograde Transcatheter Valve-in-Valve Implantation in the Mitral Position. JACC: Cardiovascular Interventions 2011; 4: 1246–7.
20. Webb JG, Wood DA, Ye J et al. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves. Circulation 2010; 121: 1848–57.
21. Cheung AW, Gurvitch R, Ye J et al. Transcatheter transapical mitral valve-in-valve implantations for a failed bioprosthesis: a case series. J Thorac Cardiovasc Surg 2011; 141: 711–5.
2. Gurvitch R, Cheung A, Wood DA et al. Transcatheter. Valve-in-Valve Implantation for Failed Surgical Bioprosthetic Valves. J Am Coll Cardiol 2011; 58 (21).
3. Bapat V, Mydin I, Chadalavada S et al. A Guide to Fluoroscopic Identification and Design of Bioprosthetic Valves: A Reference for Valve-in-Valve Procedure. Cathet Cardiovasc Int DOI 10.1002/ccd.
4. Piazza N, Bleiziffer S, Brockmann G et al. Transcatheter Aortic Valve Implantation for Failing Surgical Aortic Bioprosthetic Valve. J Am Coll Cardiol Intv 2011; 4 (7): 721–32.
5. Piazza N, Bleiziffer S, Brockmann G et al. Transcatheter Aortic Valve Implantation for Failing Surgical Aortic Bioprosthetic Valve: From Concept to Clinical Application and Evaluation (Part 2). JACC: Cardiovascular Interventions 2011; 4 (7): 733–42.
6. Descoutures F, Himbert D, Maisano F et al. Transcatheter valve-in-ring implantation after failure of surgical mitral repair. Eur J Cardiothorac Surg 2013; 44 (1): e8–15.
7. Silberman S, Oren A, Dotan M. Aortic valve replacement: choice between mechanical valves and bioprostheses. J Card Surg 2008; 23: 299–306.
8. Brown JM, O'Brien SM, Wu C et al. Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg 2009; 137: 82–90.
9. Vogt PR, Brunner-LaRocca H, Sidler P. Reoperative surgery for degenerated aortic bioprostheses: predictors for emergency surgery and reoperative mortality. Eur J Cardiothorac Surg 2000; 17: 134–9.
10. Jones JM, O'Kane H, Gladstone DJ. Repeat heart valve surgery: risk factors for operative mortality. J Thorac Cardiovasc Surg 2001; 122: 913–8.
11. Ruel M, Kulik A, Rubens FD. Late incidence and determinants of reoperation in patients with prosthetic heart valves. Eur J Cardiothorac Surg 2004; 25: 364–70.
12. Jaussaud N, Gariboldi V, Giorgi R. Risk of reoperation for aortic bioprosthesis dysfunction. J Heart Valve Dis 2009; 18: 256–61.
13. Wenaweser P, Buellesfeld L, Gerckens U, Grube E. Percutaneous aortic valve replacement for severe aortic regurgitation in degenerated bioprosthesis: the first valve in valve procedure using the CoreValve revalving system. Cathet Cardiovasc Int 2007; 70: 760–4.
14. Pasic M, Unbehaun A, Dreysse S et al. Transapical aortic valve implantation after previous aortic valve replacement: clinical proof of the ‘‘valve-in-valve’’ concept. J Thorac Cardiovasc Surg 2011; 142: 270–7.
15. Kempfert J, Van Linden A, Linke A et al. Transapical off-pump valve-in-valve implantation in patients with degenerated aortic xenografts. Ann Thorac Surg 2010; 89: 1934–41.
16. Dvir D, Webb J, Brecker S et al. Transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: results from the global valve-in-valve registry. Circulation 2012; 126: 2335–44.
17. Bonow RO, Carabello BA, Chatterjee K et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guide-lines (writing Committee to Revise the 1998 guidelines for the manage-ment of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Soci-ety of Thoracic Surgeons. J Am Coll Cardiol 2006; 48: e1–e148.
18. Bruschi G, Barosi A, Colombo P et al. Direct transatrial transcatheter SAPIEN valve implantation through right minithoracotomy in a degenerated mitral bioprosthetic valve. Ann Thorac Surg 2012; 93: 1708–10.
19. Montorfano M, Latib A, Chieffo A et al. Successful Percutaneous Anterograde Transcatheter Valve-in-Valve Implantation in the Mitral Position. JACC: Cardiovascular Interventions 2011; 4: 1246–7.
20. Webb JG, Wood DA, Ye J et al. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves. Circulation 2010; 121: 1848–57.
21. Cheung AW, Gurvitch R, Ye J et al. Transcatheter transapical mitral valve-in-valve implantations for a failed bioprosthesis: a case series. J Thorac Cardiovasc Surg 2011; 141: 711–5.
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2. Gurvitch R, Cheung A, Wood DA et al. Transcatheter. Valve-in-Valve Implantation for Failed Surgical Bioprosthetic Valves. J Am Coll Cardiol 2011; 58 (21).
3. Bapat V, Mydin I, Chadalavada S et al. A Guide to Fluoroscopic Identification and Design of Bioprosthetic Valves: A Reference for Valve-in-Valve Procedure. Cathet Cardiovasc Int DOI 10.1002/ccd.
4. Piazza N, Bleiziffer S, Brockmann G et al. Transcatheter Aortic Valve Implantation for Failing Surgical Aortic Bioprosthetic Valve. J Am Coll Cardiol Intv 2011; 4 (7): 721–32.
5. Piazza N, Bleiziffer S, Brockmann G et al. Transcatheter Aortic Valve Implantation for Failing Surgical Aortic Bioprosthetic Valve: From Concept to Clinical Application and Evaluation (Part 2). JACC: Cardiovascular Interventions 2011; 4 (7): 733–42.
6. Descoutures F, Himbert D, Maisano F et al. Transcatheter valve-in-ring implantation after failure of surgical mitral repair. Eur J Cardiothorac Surg 2013; 44 (1): e8–15.
7. Silberman S, Oren A, Dotan M. Aortic valve replacement: choice between mechanical valves and bioprostheses. J Card Surg 2008; 23: 299–306.
8. Brown JM, O'Brien SM, Wu C et al. Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg 2009; 137: 82–90.
9. Vogt PR, Brunner-LaRocca H, Sidler P. Reoperative surgery for degenerated aortic bioprostheses: predictors for emergency surgery and reoperative mortality. Eur J Cardiothorac Surg 2000; 17: 134–9.
10. Jones JM, O'Kane H, Gladstone DJ. Repeat heart valve surgery: risk factors for operative mortality. J Thorac Cardiovasc Surg 2001; 122: 913–8.
11. Ruel M, Kulik A, Rubens FD. Late incidence and determinants of reoperation in patients with prosthetic heart valves. Eur J Cardiothorac Surg 2004; 25: 364–70.
12. Jaussaud N, Gariboldi V, Giorgi R. Risk of reoperation for aortic bioprosthesis dysfunction. J Heart Valve Dis 2009; 18: 256–61.
13. Wenaweser P, Buellesfeld L, Gerckens U, Grube E. Percutaneous aortic valve replacement for severe aortic regurgitation in degenerated bioprosthesis: the first valve in valve procedure using the CoreValve revalving system. Cathet Cardiovasc Int 2007; 70: 760–4.
14. Pasic M, Unbehaun A, Dreysse S et al. Transapical aortic valve implantation after previous aortic valve replacement: clinical proof of the ‘‘valve-in-valve’’ concept. J Thorac Cardiovasc Surg 2011; 142: 270–7.
15. Kempfert J, Van Linden A, Linke A et al. Transapical off-pump valve-in-valve implantation in patients with degenerated aortic xenografts. Ann Thorac Surg 2010; 89: 1934–41.
16. Dvir D, Webb J, Brecker S et al. Transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: results from the global valve-in-valve registry. Circulation 2012; 126: 2335–44.
17. Bonow RO, Carabello BA, Chatterjee K et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guide-lines (writing Committee to Revise the 1998 guidelines for the manage-ment of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Soci-ety of Thoracic Surgeons. J Am Coll Cardiol 2006; 48: e1–e148.
18. Bruschi G, Barosi A, Colombo P et al. Direct transatrial transcatheter SAPIEN valve implantation through right minithoracotomy in a degenerated mitral bioprosthetic valve. Ann Thorac Surg 2012; 93: 1708–10.
19. Montorfano M, Latib A, Chieffo A et al. Successful Percutaneous Anterograde Transcatheter Valve-in-Valve Implantation in the Mitral Position. JACC: Cardiovascular Interventions 2011; 4: 1246–7.
20. Webb JG, Wood DA, Ye J et al. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves. Circulation 2010; 121: 1848–57.
21. Cheung AW, Gurvitch R, Ye J et al. Transcatheter transapical mitral valve-in-valve implantations for a failed bioprosthesis: a case series. J Thorac Cardiovasc Surg 2011; 141: 711–5.
Авторы
Т.Э.Имаев*, А.Е.Комлев, А.С.Колегаев, П.М.Лепилин, Р.С.Акчурин
Институт клинической кардиологии им. А.Л.Мясникова ФГБУ Российский кардиологический научно-производственный комплекс Минздрава России. 121552, Россия, Москва, ул. 3-я Черепковская, д. 15а
*imaev.timur@mail.ru
Институт клинической кардиологии им. А.Л.Мясникова ФГБУ Российский кардиологический научно-производственный комплекс Минздрава России. 121552, Россия, Москва, ул. 3-я Черепковская, д. 15а
*imaev.timur@mail.ru
________________________________________________
T.E.Imaev*, A.E.Komlev, A.S.Kolegaev, P.M.Lepilin, R.S.Akchurin
A.L.Myasnikov Institute of Clinical Cardiology, Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation. 121552, Russian Federation, Moscow, ul. 3-ia Cherepkovskaia, d. 15a
*imaev.timur@mail.ru
A.L.Myasnikov Institute of Clinical Cardiology, Russian Cardiological Scientific-Industrial Complex of the Ministry of Health of the Russian Federation. 121552, Russian Federation, Moscow, ul. 3-ia Cherepkovskaia, d. 15a
*imaev.timur@mail.ru
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