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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kpccz</journal-id><journal-title-group><journal-title xml:lang="ru">Комплексные проблемы сердечно-сосудистых заболеваний</journal-title><trans-title-group xml:lang="en"><trans-title>Complex Issues of Cardiovascular Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2306-1278</issn><issn pub-type="epub">2587-9537</issn><publisher><publisher-name>Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17802/2306-1278-2025-14-5-122-138</article-id><article-id custom-type="elpub" pub-id-type="custom">kpccz-1676</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>АНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургия</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS. Cardiovascular surgery</subject></subj-group></article-categories><title-group><article-title>ОБЗОР ЭВОЛЮЦИИ КОНСТРУКЦИЙ ТРАНСКАТЕТЕРНЫХ ИМПЛАНТОВ АОРТАЛЬНОГО КЛАПАНА</article-title><trans-title-group xml:lang="en"><trans-title>REVIEW OF THE EVOLUTION OF TRANSCATHETER AORTIC VALVE DESIGNS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5669-8696</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Митрофанова</surname><given-names>Кристина Сергеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Mitrofanova</surname><given-names>Kristina S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат технических наук инженер-исследователь лаборатории новых биоматериалов отдела экспериментальной медицины федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, Research Engineer at the Laboratory of New Biomaterials, Department of Experimental Medicine, Federal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">kirmeetzz@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3211-1250</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клышников</surname><given-names>Кирилл Юрьевич</given-names></name><name name-style="western" xml:lang="en"><surname>Klyshnikov</surname><given-names>Kirill Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук научный сотрудник лаборатории новых биоматериалов отдела экспериментальной медицины федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, Researcher at the Laboratory of New Biomaterials, Department of Experimental Medicine, Federal State Budgetary Scientific Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">klyshnikovk@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7477-3979</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчаренко</surname><given-names>Евгений Андреевич</given-names></name><name name-style="western" xml:lang="en"><surname>Ovcharenko</surname><given-names>Evgeny A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат технических наук заведующий лабораторией новых биоматериалов отдела экспериментальной медицины федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, Head of the Laboratory of New Biomaterials, Department of Experimental Medicine, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">ovchea@kemcardio.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»<country>Россия</country></aff><aff xml:lang="en">Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>12</day><month>11</month><year>2025</year></pub-date><volume>14</volume><issue>5</issue><fpage>122</fpage><lpage>138</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Митрофанова К.С., Клышников К.Ю., Овчаренко Е.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Митрофанова К.С., Клышников К.Ю., Овчаренко Е.А.</copyright-holder><copyright-holder xml:lang="en">Mitrofanova K.S., Klyshnikov K.Y., Ovcharenko E.A.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.nii-kpssz.com/jour/article/view/1676">https://www.nii-kpssz.com/jour/article/view/1676</self-uri><abstract><sec><title>Основные положения</title><p>Основные положения</p></sec><sec><title> </title><p> </p></sec><sec><title>Резюме</title><p>Резюме</p><p>Анализ литературных данных за последние 20 лет о конструкциях транскатетерных протезов клапанов сердца для лечения болезней системы кровообращения и сердечно-сосудистых заболеваниях основан на доступных для авторов источников – научных публикаций, входящих в перечень: Scopus, Web of Science, PubMed, РИНЦ. Исследование тенденций в проектировании и изменений в конструкциях транскатетерных протезов клапанов сердца за последние 20 лет позволило выявить ряд значительных улучшений. Применение кобальт-хромовых и молибдено-рениевых сплавов вместо нержавеющей стали повысило прочностные и эксплуатационные характеристики опорных каркасов баллонорасширяемых протезов. Самораскрывающиеся протезы лучше адаптируются к анатомии пациентов и снижают риск парапротезной утечки благодаря оптимизации радиальных сил и увеличению размеров ячеек. Несмотря на то, что механически расширяемые протезы были отозваны, из-за сложностей с системой доставки, первоначально, устройства обладали уникальным механизмом фиксации и обеспечивали высокую точность установки, а также возможности репозиции и полного извлечения. Совершенствование технологий обработки биоматериала и улучшение геометрии клапанных обшивок снижают риск кальциноза и парапротезных утечек. В совокупности, применяемые конструктивные изменения способствуют улучшению биосовместимости, уменьшают риск кальцификации и в конечном результате повышают надежность и долговечности транскатетерных протезов клапанов сердца.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Highlights</title><p>Highlights</p></sec><sec><title> </title><p> </p></sec><sec><title>Abstract</title><p>Abstract</p><p>The analysis of literature data over the past 20 years on the designs of transcatheter prosthetic heart valves for the treatment of cardiovascular diseases is based on sources available to the authors – scientific publications included in the list: Scopus, Web of Science, PubMed, RSCI. The study of trends in the design and changes in the designs of transcatheter prosthetic heart valves over the past 20 years has revealed a number of significant improvements. The use of cobalt-chromium and molybdenum-rhenium alloys instead of stainless steel has increased the strength and performance characteristics of the support frames of balloon-expandable prostheses. Self-expanding prostheses adapt better to the patient's anatomy and reduce the risk of paraprosthetic leakage by optimizing radial forces and increasing cell sizes. Despite the fact that mechanically expandable prostheses were withdrawn due to difficulties with the delivery system, initially, the devices had a unique locking mechanism and provided high installation accuracy, as well as repositioning and complete extraction capabilities. Improving biomaterial processing technologies and improving the geometry of valve linings reduce the risk of calcification and paraprosthetic leaks. Collectively, the applied design changes contribute to improved biocompatibility, reduce the risk of calcification, and ultimately increase the reliability and durability of transcatheter prosthetic heart valves.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>Сердечно-сосудистые заболевания</kwd><kwd>Баллонорасширяемый транскатетерный протез клапана сердца</kwd><kwd>Самораскрывающийся транскатетерный протез клапана сердца</kwd><kwd>Механически расширяемый транскатетерный протез клапана сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Cardiovascular diseases</kwd><kwd>Balloon-expandable transcatheter heart valve</kwd><kwd>Self-expanding transcatheter heart valve</kwd><kwd>Mechanically expandable transcatheter heart valve</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Результаты получены при поддержке Российской Федерации в лице Министерства науки и высшего образования РФ в рамках Соглашения о предоставлении из федерально-го бюджета грантов в форме субсидий от «30» сентября 2022 г. № 075-15-2022-1202, ком-плексной научно-технической программы полного инновационного цикла «Разработка и внедрение комплекса технологий в областях разведки и добычи твердых полезных иско-паемых, обеспечения промышленной безопасности, биоремедиации, создания новых про-дуктов глубокой переработки из угольного сырья при последовательном снижении эко-логической нагрузки на окружающую среду и рисков для жизни населения» (утвержден-ной распоряжением Правительства Российской Федерации от 11 мая 2022 г. № 1144-р).</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Алекян Б.Г., Григорьян А.М., Стаферов А.В., Карапетян Н.Г. 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