TAVIの合併症　血管損傷　心破裂　弁破裂　弁逆流　冠動脈閉塞　完全房室ブロック　上嶋亮先生　かみじま内科クリニック

Complications of TAVI: Vascular Damage, Cardiac Rupture, Valve Rupture, Valve Regurgitation, Coronary Artery Occlusion, Complete Atrioventricular Block. Dr. Ryo Kamijima, Kamijima Internal Medicine Clinic This video is intended for nurses, paramedical staff, physicians, and other medical professionals. It explains the value of contrast-enhanced CT scans before TAVI, determining the puncture site, and selecting a prosthetic valve. To patients, related parties, and everyone involved: This video is intended for hospital-based medical professionals and medical students. We sincerely hope that this will not be a video that criticizes or slanders patients with heart disease, but rather a forum for positive, constructive medical care aimed at problem-solving. We will continue to strive every day to ensure that patients receive excellent medical care. There are no conflicts of interest to disclose regarding this video. We have not accepted any compensation from companies. This is purely a personal opinion, and medications and medical devices should be prescribed in accordance with guidelines. Transfemoral approach (TF) Transapical approach (TA), in which the valve is inserted from the apex of the heart Transsubclavian approach (TS) Direct aortic approach (DA), in which the valve is inserted from the ascending aorta There are two types of prosthetic valves: Edwards' Sapien XT and Medtronic's CoreValve. Edward's Sapien is balloon-expanded and placed. Medtronic's CoreValve is self-expanding. 2020 Revised Edition Guidelines for the Management of Valvular Heart Disease JCS/JATS/JSVS/JSCS 2020 Guideline on the Management of Valvular Heart Disease https://www.j-circ.or.jp/cms/wp-conte... #TAVI #Sapien #CoreValve #RyoKamijima #KamijimaInternalMedicalClinic Explanation by Dr. Ryo Kamijima. KamijimaInternalMedicalClinic https://kamijima-clinic.com TAVI complications, vascular injury, cardiac rupture, valve rupture, valve regurgitation, coronary artery occlusion, complete atrioventricular block, Sapien, CoreValve, Clinical Frailty Scale, TAVI, catheter, Ryo Kamijima, KamijimaInternalMedicalClinic, aortic valve stenosis, Kihei Yoneyama, cardiology, cardiology, heart