班托尔与门节约性大动脉根替换对于中度至重度大动脉缺陷的根病理:一个倾向匹配的分析
Elizabeth L Norton1, Parth M Patel1, Dov Levine2
1Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
概括
班塔尔大动脉根置换 (ARR) 和节约根置换 (VSRR) 为中度至重度大动脉缺陷 (AI) 患者提供可比的长期存活率. 这两种手术都显示出可接受的结果,ARR显示了手术后AI复发率较低.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 心脏外科手术 心脏外科手术
背景情况:
- 大动脉衰竭 (AI) 是一种需要手术干预的严重疾病.
- 班塔尔大动脉根置换 (ARR) 和节约根置换 (VSRR) 是适度至严重AI的常见手术选择.
- 评估这些程序的比较结果对于临床决策至关重要.
研究的目的:
- 为了比较Bentall大动脉根置换 (ARR) 与门节约根置换 (VSRR) 的短期和长期结果,在患有中度至重度大动脉缺陷 (AI) 的成年患者中.
主要方法:
- 从2004年到2021年对两个中心数据库的回顾性审查确定了1527名接受ARR或VSRR的成年患者.
- 使用倾向分数匹配,创建了195对可比的患者对.
- 评估的结果包括术后事件,重新手术率,AI复发率和长期生存率.
主要成果:
- 两组ARR和VSRR都显示出类似的中风率,住院死亡率和对大动脉或近道大动脉问题的重新手术.
- 与VSRR组相比,Bentall ARR组经历了3年内中度至重度AI复发的明显较低率 (1.6%对14%).
- 两组的十年生存率是可比的 (84%的ARR与82%的VSRR).
结论:
- 班塔尔大动脉根置换 (ARR) 和节约根置换 (VSRR) 都是中度至严重大动脉缺陷 (AI) 患者的可行的手术选择,提供可接受的短期和长期结果.
- 本塔尔ARR程序可能在减少中度至重度AI的复发方面具有优势.
- 两种手术的长期存活率相似,突出了它们在治疗复杂的大动脉根病理方面的有效性.
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