经过过导管大动脉置换后的结果的比较,需要外周血管干预或替代性接入
Toshiaki Isogai1, Ankit Agrawal1, Shashank Shekhar1
1Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.
Journal of the American Heart Association
|June 10, 2023
概括
在输血管穿管大动脉置换 (TF-TAVR) 期间的外周血管干预 (PVI) 与更糟糕的结果无关. 与非TF-TAVR相比,使用PVI的TF-TAVR显示出更好的短期和中期结果.
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
- 血管外科 血管外科
背景情况:
- 周围血管干预 (PVI) 有时需要在输血管穿管大动脉置换 (TF-TAVR) 期间进行,以获得或管理并发症.
- 对于PVI对TF-TAVR结果的影响尚不清楚.
研究的目的:
- 为了比较带有PVI和没有PVI的TF-TAVR之间的结果.
- 为了比较TF-TAVR与PVI和非TF-TAVR之间的结果.
主要方法:
- 对2386名用气球扩展进行TAVR的患者 (2016-2020年) 的回顾性审查.
- 主要结局:死亡和重大心脏/脑血管不良事件 (MACCE).
- 对2246名TF-TAVR接受者的分析,其中136人 (6.1%) 需要PVI,通常作为救助治疗.
主要成果:
- 在PVI和没有PVI的TF-TAVR之间,死亡或MACCE没有显著差异.
- 与非TF-TAVR相比,具有PVI的TF-TAVR的死亡率和MACCE明显较低.
- 里程碑式的分析显示,TF-TAVR与PVI相比,非TF-TAVR的TF-TAVR短期和中期结果更好.
结论:
- 在很大比例的TF-TAVR案件中,PVI是必要的,主要是用于救助.
- 对于TF-TAVR患者来说,PVI不会对结果产生负面影响.
- 与非TF-TAVR相比,即使使用PVI,TF-TAVR也提供了优越的短期和中期结果.
更多相关视频
08:50Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
11.7K
06:10Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.3K
相关概念视频
01:27Peripheral Artery Disease III: Interprofessional Care
13
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
13
01:23Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
18
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
18