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中华心脏与心律电子杂志 ›› 2026, Vol. 14 ›› Issue (02) : 65 -70. doi: 10.3877/cma.j.issn.2095-6568.2026.02.001

年度报告

2025年经导管主动脉瓣置换术年度报告
潘文志, 李捷, 李飞, 方瑧飞, 吴永健†(), 周达新†()   
  1. 1200032 上海,复旦大学附属中山医院心内科 上海市心血管病研究所 国家放射与治疗临床医学研究中心
    2215000 苏州,苏州工业园区东方华夏心血管健康研究院
    3510080 广州,南方医科大学附属广东省人民医院心内科 广东省医学科学院 广东省心血管病研究所
    4710032 西安,空军军医大学西京医院心血管内科
    5410083 长沙,中南大学湘雅二医院心血管内科
    6100037 北京,中国医学科学院 北京协和医学院 国家心血管病中心 心血管疾病国家重点实验室 阜外医院心内科
  • 收稿日期:2026-02-15 出版日期:2026-06-25
  • 通信作者: 吴永健, 周达新
  • 基金资助:
    国家自然科学基金重点项目(NSFC 62531004)

Transcatheter aortic valve replacement annual report 2025

Wenzhi Pan, Jie Li, Fei Li, Zhenfei Fang, Yongjian Wu†(), Daxin Zhou†()   

  1. 1Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai 200032, China
    2China Heart House, Suzhou 215000, China
    3Department of Cardiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
    4Department of Cardiology, Xijing Hospital, Air Force Military Medical University, Xi'an 710032, China
    5Department of Cardiology, The Second Xiangya Hospital of Central South University, Changsha 410083, China
    6Department of Cardiology, Fuwai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China
  • Received:2026-02-15 Published:2026-06-25
  • Corresponding author: Yongjian Wu, Daxin Zhou
引用本文:

潘文志, 李捷, 李飞, 方瑧飞, 吴永健, 周达新. 2025年经导管主动脉瓣置换术年度报告[J/OL]. 中华心脏与心律电子杂志, 2026, 14(02): 65-70.

Wenzhi Pan, Jie Li, Fei Li, Zhenfei Fang, Yongjian Wu, Daxin Zhou. Transcatheter aortic valve replacement annual report 2025[J/OL]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2026, 14(02): 65-70.

随着经导管主动脉瓣置换术的快速发展,2025年国内外大量新研究、新技术和新器械不断被提出和应用。本文拟从国际和国内出发,总结回顾2025年的指南共识更新、应用情况、研究进展和新器械研发,为2026年该领域发展方向行业发展及临床研究的趋势进行展望和建议。

With the rapid development of transcatheter aortic valve replacement, a large number of new studies, new technologies, and new devices have been proposed and applied both domestically and internationally in 2025. This article intends to start from both international and domestic perspectives, summarize and review the updated guidelines, application status, research progress and new device development in 2025, in order to make predictions and suggestions for the development direction of this field and the trend of clinical research in 2026.

图1 2025年中国上市主动脉瓣反流瓣专用瓣膜(1A为TA-KenValve系统;1B为TF J-Valve TAVR系统;1C为TaurusTrio TAVR系统)
图2 2025年中国上市经导管主动脉瓣置换瓣膜(15款)
图3 2016—2025年中国商业化经导管主动脉瓣置换手术量
[1]
Fabien P, Borger Michael A, Jonas L, et al. 2025 ESC/EACTS Guidelines for the management of valvular heart disease[J]. Eur Heart J, 2025, 46(44):4635-4736.
[2]
潘文志, 翁梓珑, 周达新, 等. 《2025年ESC/EACTS瓣膜性心脏病管理指南》更新要点解读[J/OL]. 中华心脏与心律电子杂志, 2025, 13(3):129-135.
[3]
Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease[J]. Eur Heart J, 2022, 43(7):561-632.
[4]
Tam DY, Wijeysundera HC, Naimark D, et al. Impact of transcatheter aortic valve durability on life expectancy in low-risk patients with severe aortic stenosis[J]. Circulation, 2020, 142(4):354-364.
[5]
Leon Martin B, Mack Michael J, Philippe P, et al. Transcatheter or surgical aortic-valve replacement in low-risk patients at 7 years[J]. N Engl J Med, 2026, 394(8):773-783.
[6]
中国医师协会心血管内科医师分会结构性心脏病专业委员会. 经导管主动脉瓣置换术中国专家共识(2020更新版)[J]. 中国介入心脏病学杂志, 2020, 28(6):301-309.
[7]
中国医师协会心血管内科医师分会结构性心脏病学组, 周达新, 吴永健, 等. 单纯主动脉瓣反流经股动脉主动脉瓣置换中国专家共识2023[J]. 中国介入心脏病学杂志, 2023, 31(11):801-809.
[8]
Lønborg J, Jabbari R, Sabbah M, et al. PCI in patients undergoing transcatheter aortic-valve implantation[J]. N Engl J Med, 2024, 391(23):2189-2200.
[9]
Patterson T, Clayton T, Dodd M, et al. ACTIVATION (PercutAneous Coronary inTervention prIor to transcatheter aortic VAlve implantaTION): a randomized clinical trial[J]. JACC Cardiovasc Interv, 2021, 14(18):1965-1974.
[10]
Kobari Y, Inohara T, Tsuruta H, et al. No Antithrombotic therapy after transcatheter aortic valve replacement: insight from the OCEAN-TAVI Registry[J]. JACC Cardiovasc Interv, 2023, 16(1):79-91.
[11]
Blankenberg S, Seiffert M, Vonthein R, et al. Transcatheter or surgical treatment of aortic-valve stenosis[J]. N Engl J Med, 2024, 390(17):1572-1583.
[12]
Forrest JK, Deeb GM, Yakubov SJ, et al. 4-Year outcomes of patients with aortic stenosis in the Evolut low risk trial[J]. J Am Coll Cardiol, 2023, 82(22):2163-2165.
[13]
Sievers H, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens[J]. J Thorac Cardiovasc Surg, 2007, 133(5):1226-1233.
[14]
Li W, Jia Y, Li H, et al. Long-term outcomes of BAV-0 patients compared with BAV-1 and TAV patients after TAVR[J]. JACC Cardiovasc Interv, 2025, 18(15):1881-1892.
[15]
Yamanaka F, Shishido K, Moriyama N, et al. Incidence and prognosis of prosthesis-patient mismatch after transcatheter aortic valve replacement for bicuspid aortic stenosis[J]. JACC Cardiovasc Interv, 2025, 18(4):492-502.
[16]
Sergio R, Amat-Santos Ignacio J, Xavier R, et al. Dapagliflozin in patients undergoing transcatheter aortic-valve implantation[J]. N Engl J Med, 2025, 392(14):1396-1405.
[17]
Clara B, Sergio GB, Ignacio A, et al. Effect of dapagliflozin on quality of life of patients with aortic stenosis undergoing transcatheter aortic valve implantation[J]. J Am Coll Cardiol, 2025, 86(15):1128-1138.
[18]
Makkar RR, Gupta A, Waggoner TE, et al. Cerebral embolic protection by geographic region: a post hoc analysis of the PROTECTED TAVR randomized clinical trial[J]. JAMA Cardiol, 2025, 10(1):17-24.
[19]
Kharbanda RK, Kennedy J, Jamal Z, et al. Routine cerebral embolic protection during transcatheter aortic-valve implantation[J]. N Engl J Med, 2025, 392(24):2403-2412.
[20]
Hans-Josef F, Joerg E, Philipp L, et al. Peri-interventional anesthesia strategies for transcatheter aortic valve implantation: a multicenter, randomized, controlled, noninferiority trial[J]. Circulation, 2025, 152(22):1526-1537.
[21]
Wire B. Caranx medical announces first clinical use of the TAVIPILOT soft, cleared by FDA for commercial in July: the world first AI software for real-time intra-operative guidance of transcatheter heart valve implantation [EB/OL]. Nov 17, 2025.

URL    
[22]
中国医师协会心血管内科医师分会结构性心脏病专业委员, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识[J]. 中国介入心脏病学杂志, 2015, 23(12):661-667.
[23]
国家放射与治疗临床医学研究中心, 苏州工业园区东方华夏心血管健康研究院, 周达新等. 经导管主动脉瓣置换术中国专家共识(2025版)[J]. 中国介入心脏病学杂志, 2025, 33(12):661-674.
[24]
Pan W, Chen S, Li W, et al. Early results of multicenter trial of a novel balloon-expandable valve with anchor for aortic regurgitation[J]. JACC Cardiovasc Interv, 2025, 18(6):752-764.
[25]
Li R, Wang L, Liu Q, et al. Comparative study of single- versus double-ProGlide device strategy for access site closure of transfemoral transcatheter aortic valve replacement[J]. Catheter Cardiovasc Interv, 2025, 106(3):1639-1649.
[26]
Yang C, Qingrong L, Hongliang Z, et al. Transcatheter aortic valve replacement with a fully-recyclable self-expanding short-frame sciencrown valve for severe aortic stenosis[J]. Int J Surg, 2026, 112(2):3338-3347.
[27]
Yao J, Wu D, Yan Y, et al. Redefining TAVR valve sizing: a validated multiplanar approach for both bicuspid and tricuspid valves[J]. JACC Cardiovasc Interv, 2025, 18(14):1748-1757.
[28]
严道医声网. TCT 2025·中国之声|王焱教授重磅发布全球首个机器人辅助经导管主动脉瓣置换术可行性临床试验结果[EB/OL]. (2025-10-29) [2026-03-28].

URL    
[29]
Yang L, Chen S, Zhang X, et al. Comparisons of noncoronary sinus pivot implantation (NCPI) and conventional method for transcatheter aortic valve replacement with self-expanding valve in pure aortic regurgitation (PAR)[J]. Catheter Cardiovasc Interv, 2024, 103(7):1093-1100.
[30]
Yang L, Weng Z, Chen S, et al. Noncoronary sinus pivot implantation for transcatheter aortic valve replacement with self-expanding valve for aortic regurgitation[J]. JACC Asia, 2025, 5(7):884-894.
[31]
杨力凡, 翁梓珑, 林大卫, 等. 无冠窦支点植入法治疗单纯主动脉瓣反流:一项单中心队列研究的1年疗效与安全性评估[J/OL]. 上海医学, 1-10[2026-03-28].

URL    
[32]
Feng X, XinJing C, ZiLong W, et al. Noncoronary sinus pivot implantation (NCPI) strategy for transcatheter aortic valve replacement with self-expanding valve in pure native aortic regurgitation: a multicenter, registry study from the CCA database-NTCVR[J]. Catheter Cardiovasc Interv, 2025, 106(6):3230-3238.
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