Evolution of indications for percutaneous pulmonary valve implantation
10.3969/j.issn.1004-8812.2025.05.006
- VernacularTitle:经皮肺动脉瓣置入术的适应证变迁和应用进展
- Author:
Qian-bei HE
1
;
Yuan FENG
1
;
Zhen-gang ZHAO
1
Author Information
1. 四川大学华西医院心脏内科,四川成都 610041
- Publication Type:Journal Article
- Keywords:
Percutaneous pulmonary valve implantation;
Right ventricular outflow tract disease;
Pulmonary regurgitation and/or obstruction
- From:
Chinese Journal of Interventional Cardiology
2025;33(5):278-283
- CountryChina
- Language:Chinese
-
Abstract:
Patients with congenital heart disease combined with right ventricular outflow tract malformations often leave varying degrees of pulmonary regurgitation and/or obstruction after surgical/interventional correction.With the continuation of time,the significant increasement of the right ventricular volume load will affect patients'quality of life and survival,which may require multiple pulmonary valve replacements.Compared with high-risk surgery,percutaneous pulmonary valve implantation is a less invasive,safer and more effective interventional valve replacement technology,which can improve patients' long-term prognosis.With the progress of technology and the improvement of instruments,the indications of percutaneous pulmonary valve implantation have gradually expanded,and have gradually become an alternative treatment of surgical thoracic valve replacement.Combined with the latest research progress of percutaneous pulmonary valve implantation,this paper discusses the change of indications,optimal timing of intervention and instrument selection in recent years.
