摘要
主动脉瓣狭窄是老年人最常见瓣膜疾病,主动脉瓣置换术成功地降低了该病的死亡率并极大提高了患者的生活质量。主动脉瓣膜置换术后卒中为其常见并发症,可能与手术操作、病变瓣膜区凝血及抗凝血系统失衡等因素相关。有效的抗栓药物治疗及脑保护装置的使用可减少卒中的发生。本文就主动脉瓣膜置换术相关卒中的发病率、发病机制及预防措施进行综述,旨在为临床治疗和预防卒中提供帮助。
Aortic stenosis is the most common valve disease in the elderly. Aortic valve replacement reduced the mortality rate and greatly improved the prognosis of patients with aortic stenosis. Stroke is the most common complication after aortic valve replacement, which may be related to surgical operation and imbalance of coagulation and anticoagulation system in the affected valves. Antithrombotic therapy and the application of brain protection device can reduce the occurrence of stroke. This article reviewed the incidence, pathogenesis and prevention measures of stroke associated with aortic valve replacement, to provide a reference for clinical treatment and prevention of stroke in such patients.
作者
熊荣
黄光
XIONG Rong;HUANG Guang(Department of Neurology,Fuxing Hospital,The Eighth Clinical Medical College,Capital Medical University,Beijing 100038,China)
出处
《中国卒中杂志》
2019年第5期468-473,共6页
Chinese Journal of Stroke
关键词
主动脉瓣膜置换
经导管瓣膜置换术
卒中
Aortic valve replacement
Transcatheter aortic valve replacement
Stroke
