简单和复杂退行性疾病的机器人门修复:中期临床和心声学质量结果
Rakesh M Suri1, Amit Taggarse2, Harold M Burkhart2
1From Divisions of Cardiovascular Surgery (R.M.S., A.T., H.M.B., R.C.D., J.A.D.), Anesthesiology (W.M.), Cardiovascular Diseases (R.A.N., H.I.M., M.E.-S.), and Biomedical Statistics and Informatics (Z.L.), Mayo Clinic, Rochester, MN. surir@ccf.org.
Circulation
|October 21, 2015
概括
对于严重的退行性腹 (MR) 的机器人膜修复显示出优异的中期结果. 无论疾病的复杂性如何,这种微创方法提供了高生存率和低复发率,为传统方法提供了有价值的替代方案.
科学领域:
- 心血管外科
- 最少侵入性的技术
- 心脏门的修复
背景情况:
- 严重的初级退行性腹 (MR) 需要有效的修复策略.
- 虽然简单的病例具有持久的结果,但通过微创修复复杂的MR的中期结果不太清楚.
研究的目的:
- 评估严重非缺血性退行性MR的机器人门修复的中期质量结果.
- 为了比较简单和复杂的腹修复病例的结果.
主要方法:
- 在2008年至2015年期间,对487名因严重退行性脑膜炎而接受机器人门修复的患者进行了追溯分析.
- 将患者分为简单的 (289) 和复杂的 (198) 修复组.
- 在中期随访时评估生存率,功能类别,MR复发率和再手术率.
主要成果:
- 简单和复杂修复组的5年生存率为99. 5%.
- 97. 9% 的患者达到纽约心脏协会的I/ II 功能级别.
- 在5年内,中度至重度MR复发率为94. 6%,重复手术率为97. 7%,简单病例与复杂病例之间没有显著差异.
结论:
- 机器人对退行性磁力共振进行修复,
- 无论修复复杂程度如何,都能实现高生存率,罕见并发症和低MR复发率.
- 这些发现支持机器人修复作为高质量的替代传统和皮肤穿修复.
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