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Nephrotic Syndrome I : Introduction
Published on: June 19, 2025
476
在美国进行过导管大动脉置换后的结果
Michael J Mack1, J Matthew Brennan, Ralph Brindis
1Heart Hospital Baylor Plano, Baylor Healthcare System, Plano, Texas.
JAMA
|November 19, 2013
概括
通过导管的大动脉置换 (TAVR) 在最初的美国商业使用中显示了92%的设备植入成功率. 住院死亡率为5.5%,中风率为2.0%,与之前的数据相比.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 通过导管的大动脉置换 (TAVR) 已被批准用于严重的症状大动脉狭窄在不可手术 (2011) 和高风险可手术 (2012) 患者.
- 为了医疗保险覆盖和评估结果,建立了STS/ACC TVT注册表,将TAVR与其他试验和国际数据进行比较.
研究的目的:
- 报告美国与TAVR的初始商业经验.
- 根据临床指示和访问网站分析程序并发症和结果.
主要方法:
- 在STS/ACC TVT注册表中分析了来自224家美国医院的7710例TAVR病例 (2011年11月至2013年5月).
- 主要结局:住院死亡率和中风.
- 二次结果:手术并发症,设备植入成功,以及3133名患者的30天结果.
主要成果:
- 在92%的病例中,成功植入设备.
- 住院死亡率:5.5%;中风:2.0%;主要血管损伤:6.4%.
- 平均住院时间为6天;63%的患者在家出院. 30天的死亡率为7.6%.
结论:
- 美国最初的商业TAVR经验显示92%的植入成功率,5.5%的住院死亡率和2.0%的中风率.
- 结果与先前的试验数据和国际经验相比较.
- 长期跟踪对于评估TAVR的持续有效性和安全性至关重要.
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