icon fsr

文献詳細

雑誌文献

循環器ジャーナル72巻2号

2024年04月発行

文献概要

特集 心エコー 何をどこまで評価できるか? Ⅲ. 心エコーを活かして構造的心疾患を診断・治療する

ASの重症度評価のピットフォールとTAVIの周術期評価のポイント

著者: 児玉浩幸1 有田武史1

所属機関: 1福岡和白病院循環器内科

ページ範囲:P.274 - P.280

文献購入ページに移動
POINT
・重症度評価においては連続波ドプラ法によるmPG,Vmax,AVAの3つの指標が重要である
・Low flow low gradient ASの重症度評価にはドブタミン負荷エコーが有用である
・経食道心エコーカラードプラ法によるPVL評価は経胃像を含む多断面で行う

参考文献

1)Siu SC, Silversides CK : Bicuspid aortic valve disease. J Am Coll Cardiol 2010 ; 55 : 2789-800.
2)Roberts WC, Janning KG, Ko JM, et al : Frequency of congenitally bicuspid aortic valves in patients ≥80 years of age undergoing aortic valve replacement for aortic stenosis(with or without aortic regurgitation)and implications for transcatheter aortic valve implantation. Am J Cardiol 2012 ; 109 : 1632-36.
3)Vahanian A, Beyersdorf F, Praz F, et al : ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 2022 ; 43 : 561-632.
4)日本循環器学会,日本胸部外科学会,日本血管外科学会,日本心臓血管外科学会.2020年改定版弁膜症治療のガイドライン.https://www.j-circ.or.jp/cms/wp-content/uploads/2020/04/JCS2020_Izumi_Eishi.pdf
5)Shirazi S, Golmohammadi F, Tavoosi A, et al : Quantification of aortic valve area : comparison of different methods of echocardiography with 3-D scan of the excised valve. Int J Cardiovasc Imaging 2021 ; 37 : 529-38.
6)Baumgartner H Chair, Hung J Co-Chair, Bermejo J, et al : Recommendations on the echocardiographic assessment of aortic valve stenosis : a focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Eur Heart J Cardiovasc Imaging 2017 ; 18 : 254-75.
7)Holy EW, Nguyen-Kim TDL, Hoffelner L, et al. Multimodality imaging derived energy loss index and outcome after transcatheter aortic valve replacement. Eur Heart J Cardiovasc Imaging 2020 ; 21 : 1092-102.
8)Yokoyama Y, Shimoda T, Sloan B, et al : Meta-analysis of phase-specific survival after transcatheter versus surgical aortic valve replacement from randomized control trials. J Thorac Cardiovasc Surg, 2023 ; S0022-5223(23)00365-3. Online ahead of print.
9)Otto CM, Nishimura RA, Bonow RO, et al : 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease : Executive Summary : A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2021 ; 143 : e35-e71.
10)日本循環器学会,日本心臓病学会,日本心臓血管外科学会,日本血管外科学会,日本胸部外科学会.2021年改定版 先天性心疾患,心臓大血管の構造的疾患(structural heart disease)に対するカテーテル治療のガイドライン.https://www.j-circ.or.jp/cms/wp-content/uploads/2021/03/JCS2021_Sakamoto_Kawamura.pdf
11)Tsuruta H, Hayashida K, Yashima F, et al : Incidence, predictors, and midterm clinical outcomes of left ventricular obstruction after transcatheter aortic valve implantation. Catheter Cardiovasc Interv 2018 ; 92 : E288-E298.
12)Zoghbi WA, Asch FM, Bruce C, et al. Guidelines for the Evaluation of Valvular Regurgitation After Percutaneous Valve Repair or Replacement : A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Angiography and Interventions, Japanese Society of Echocardiography, and Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr 2019 ; 32 : 431-75.

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?