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Systematic Dental Screening Before Transcatheter Aortic Valve Replacement: A Call to Action!
Cardiology in Review ( IF 2.1 ) Pub Date : 2024-03-23 , DOI: 10.1097/crd.0000000000000690 Giovanni Amoroso 1 , Erni C. Mellema 2
Cardiology in Review ( IF 2.1 ) Pub Date : 2024-03-23 , DOI: 10.1097/crd.0000000000000690 Giovanni Amoroso 1 , Erni C. Mellema 2
Affiliation
Transcatheter aortic valve implantation (TAVR) offers an alternative to surgical aortic valve replacement for high-risk patients. Despite its benefits, concerns arise from its association with prosthetic valve endocarditis (PVE), a severe complication. Recent studies indicate a potential higher incidence of PVE in TAVR recipients, especially within the first year postimplantation. A significant proportion of these cases trace back to oral-pharyngeal bacteria. However, no consensus exists on dental screening for TAVR, unlike the standard procedure for surgical aortic valve replacement. Dental screenings could reduce PVE risks and aid in patient recovery. This article underscores the importance of dental screenings, calling for more research to establish its efficacy and systematic application for TAVRI candidates. Collaborative efforts between oral and maxillofacial surgeons and cardiologists are crucial for optimal patient outcomes.
中文翻译:
经导管主动脉瓣置换术前的系统牙科筛查:行动呼吁!
经导管主动脉瓣植入术(TAVR)为高危患者提供了主动脉瓣置换手术的替代方案。尽管它有好处,但它与严重并发症人工瓣膜心内膜炎(PVE)的关系引起了人们的担忧。最近的研究表明 TAVR 受者 PVE 的发生率可能较高,尤其是在植入后的第一年内。这些病例中有很大一部分可以追溯到口腔咽部细菌。然而,与主动脉瓣置换术的标准程序不同,对于 TAVR 的牙科筛查尚未达成共识。牙科筛查可以降低 PVE 风险并帮助患者康复。本文强调了牙科筛查的重要性,呼吁进行更多研究来确定其对 TAVRI 候选者的功效和系统应用。口腔颌面外科医生和心脏病专家之间的合作对于获得最佳患者治疗效果至关重要。
更新日期:2024-03-23
中文翻译:
经导管主动脉瓣置换术前的系统牙科筛查:行动呼吁!
经导管主动脉瓣植入术(TAVR)为高危患者提供了主动脉瓣置换手术的替代方案。尽管它有好处,但它与严重并发症人工瓣膜心内膜炎(PVE)的关系引起了人们的担忧。最近的研究表明 TAVR 受者 PVE 的发生率可能较高,尤其是在植入后的第一年内。这些病例中有很大一部分可以追溯到口腔咽部细菌。然而,与主动脉瓣置换术的标准程序不同,对于 TAVR 的牙科筛查尚未达成共识。牙科筛查可以降低 PVE 风险并帮助患者康复。本文强调了牙科筛查的重要性,呼吁进行更多研究来确定其对 TAVRI 候选者的功效和系统应用。口腔颌面外科医生和心脏病专家之间的合作对于获得最佳患者治疗效果至关重要。