自己拡張型Navitorバルブにおけるペースメーカー植込み率
Michael Paukovitsch1, Moritz Konjack1, Dominik Felbel1
1Department of Cardiology Ulm University Heart Center Albert-Einstein-Allee 23 89081 Ulm Germany.
Journal of the American Heart Association
|January 30, 2026
まとめ
自己拡張型Navitorバルブを用いた経カテーテル大動脈弁置換術は、Evolutシステムと比較して永続的ペースメーカー植込み(PPI)率が高いことを示している。高い植込み深度はNavitorのPPI率を低下させる可能性があり、転帰は他の自己拡張型バルブと同等になる可能性がある。
背景:
- 経カテーテル大動脈弁置換術(TAVR)における自己拡張型バルブは、バルーン拡張型システムよりも永続的ペースメーカー植込み(PPI)率が高いことと関連している。
- Navitorプロテーゼは、臨床使用が増加している新規の管状自己拡張型バルブである。
結論:
- Navitor TAVRは、プロテーゼサイズによっては、他の自己拡張型バルブと同等のPPI率を有する可能性がある。
- Navitorプロテーゼの植込み深度を最適化することで、PPI率を低下させる可能性がある。
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