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Updated: Jan 10, 2026
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Nephrotic Syndrome I : Introduction
Published on: June 19, 2025
476
アメリカ合衆国におけるトランスキャテーター大動脈弁置換手術後の結果
Michael J Mack1, J Matthew Brennan, Ralph Brindis
1Heart Hospital Baylor Plano, Baylor Healthcare System, Plano, Texas.
JAMA
|November 19, 2013
まとめ
トランスキャテーター大動脈弁置換 (TAVR) は,米国の最初の商業使用で92%のデバイスインプラント成功率を示しました. 病院での死亡率は5.5%で,脳卒中率は2.0%で,以前のデータと比較できます.
科学分野:
- 心血管医学は,心臓血管医学である.
- 介入性心臓病学 介入性心臓病学
- 医療機器 医療機器について
背景:
- トランスキャテーター大動脈弁置換 (TAVR) は,手術不可能な (2011) および高リスクの手術可能な (2012) 患者の重症症状性大動脈狭窄症の治療に承認されています.
- STS/ACC TVT Registryは,Medicareの適用と,TAVRを他の試験と国際データと比較して結果を評価するために設立されました.
研究 の 目的:
- TAVRとの米国の最初の商業経験について報告する.
- 臨床的徴候とアクセスサイトに基づいて手続的合併症と結果を分析する.
主な方法:
- STS/ACC TVT レジストリ (STS/ACC TVT レジストリ) の224の米国病院からの7710件のTAVR症例の分析 (2011年11月~2013年5月).
- 主なアウトカム:入院死亡率と脳卒中.
- 二次的アウトカム:手続上の合併症,デバイスのインプラント成功,3133人の患者の30日間のアウトカム.
主要な成果:
- デバイスのインプラント化が92%で成功しています.
- 病院での死亡率は5.5%;脳卒中:2.0%;大血管損傷:6.4%でした.
- 平均入院期間は6日,退院率は63%でした. 30日間の死亡率は7.6%でした.
結論:
- 米国でのTAVR商用試験の初期試験結果は,インプラントの成功率は92%で,入院死亡率は5.5%で,脳卒中率は2.0%でした.
- 結論は,以前の試験データと国際経験と比較できます.
- 長期的なフォローアップは,TAVRの継続的な有効性と安全性を評価するために不可欠です.
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