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Renji completed Shanghai's first domestic J-Valve valve market after transapical TAVI surgery

Renji completed Shanghai's first domestic J-Valve valve market after transapical TAVI surgery

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  • Time of issue:2018-01-15 11:21
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(Summary description)

Renji completed Shanghai's first domestic J-Valve valve market after transapical TAVI surgery

(Summary description)

  • Categories:News Channel
  • Author:
  • Origin:
  • Time of issue:2018-01-15 11:21
  • Views:
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  Today's Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine announced that it has successfully completed the transapical TAVI surgery after the first domestic J-Valve valve was introduced in Shanghai. Earlier, the hospital had successfully completed its first transthoracic route via the femoral artery, the first of which had undergone TAVI via the ascending aorta, which meant that cardiovascular surgeries of multi-path TAVI were becoming more and more mature in some tertiary hospitals in our country. Type of patients strive for more vitality.
  Human heart is like an engine, divided into four cavities, the heart valve is equivalent to the connection between the heart chamber and the blood vessel "valve", the valve can not be opened or closed lax (corresponding to the valve stenosis or incomplete closure), on Will lead to engine malfunction, machine strain, resulting in heart failure, that is, the clinical heart valve disease. Surgical aortic valve replacement has always been the main treatment for symptomatic aortic stenosis. However, for patients with advanced and complicated multi-system diseases and poor cardiac function, surgical trauma is large and the risk is high, so many patients can not be effectively treated. The advent of TAVI technology brings new hope to these patients, which is also called transcatheter aortic valve replacement. The technology is the earliest through the femoral artery valve prosthesis to the aortic root and open, so as to restore normal valve function. TAVI surgery without thoracotomy, trauma and rapid recovery, also known as "do not need to open the chest

 

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  However, it is noteworthy that not all patients are eligible for TAVI via the femoral artery. For example, Yan Chai Hospital recently accepted this case. The 82-year-old because of chest tightness after the event symptoms of acute hospital admission, cardiac ultrasound examination showed: aortic stenosis with severe degree of closure, surgical indications. However, due to the age of the patient, there is a certain risk of surgery. After positive preoperative examination and discussion by the department, patients are considered to be able to accept relatively less invasive TAVI surgery. However, patients with aortic stenosis complicated with severe regurgitation can not undergo TAVI surgery via the femoral artery and other routes in patients with aortic regurgitation.
  "Patients with aortic valve insufficiency can not complete TAVI through other routes. The apex approach is currently the only surgical path." Xue Song, Director of Cardiovascular Surgery at Renji Hospital, said that TAVI is the most appropriate and most effective The only choice.
  On December 7, under the cooperation and assistance of teams such as Anesthesiology, Cardiology, Radiology, Surgery and Cardiac Surgery, Cardiovascular Surgery was headed by Prof. Xue Song and Dr Zhang Jie and Dr. Xiao Jie were the chief anesthesiologists , In the Department of Cardiology Geheng doctor and heart color room with Dr. Joe Qiao in close cooperation with the patient by the fifth intercostal line a small incision 4 cm long, exposed apex, apex purse, angiography, balloon dilatation, valve implantation Into. The entire surgical process closely linked, at one go, before and after lasted less than two hours. The results of postoperative cardiac ultrasonography and contrast examination showed that the interventional valve position, function were good, no valve stenosis and regurgitation, no paravalvular leakage, the operation was successful.
  It is understood that transcatheter aortic valve interventional surgery is carried out abroad over the past 10 years, a treatment of aortic valve disease, a technique for aortic valve stenosis or incomplete closure of traditional open-chest surgery is particularly suitable for patients with a greater risk of extracorporeal circulation, Many patients worldwide benefit from this new technology. The domestic technology has not yet fully rolled out, Renji Hospital Cardiovascular Surgery firmly grasp the academic frontier development, the development in recent years, not only built a mature interventional treatment team, but also sent young doctors to Europe and the United States to learn many times to learn TAVI new technology. At present, Yan Chai Hospital is one of the few units in China that can carry out multi-path TAVI surgery.

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