无门与大动脉根扩大用于小大动脉环中的大动脉置换:系统性审查和聚合分析
Rajat Agarwal1, Amiy Arnav2, Ashis Ranjan3
1Department of Cardiothoracic Surgery, All India Institute of Medical Sciences (AIIMS), Deoghar, Jharkhand, India.
Asian cardiovascular & thoracic annals
|July 7, 2023
概括
无门的门提供类似的血液动力学结果,以大动脉根扩大在小的大动脉环,促进最少的侵入性手术. 然而,更高的起器植入率仍然是广泛使用的担忧.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 有限的比较数据存在于使用大动脉根扩大与无门的小大动脉环形中大动脉置换.
- 这项研究通过比较这个特定患者子组的结果来弥补这一差距.
研究的目的:
- 为了比较大动脉根扩大和无门植入之间的结果.
- 专注于接受大动脉置换的大动脉小环患者.
主要方法:
- 对PubMed,Scopus和Embase数据库进行系统审查和聚合分析.
- 包括比较大动脉根扩大和小大动脉环形中无门的研究.
主要成果:
- 使用无门缩短心肺绕道和大动脉十字时间.
- 永久心脏起器植入率更高,假肢不匹配,无门的副膜泄漏.
- 在大动脉根扩大组中增加了对出血的重新探索;死亡率或住院时间没有差异.
结论:
- 无门的门提供类似的血液动力学结果,以大动脉根扩大在小的大动脉环,并促进最少的侵入性手术.
- 无门的高心脏起器植入率是令人担忧的,特别是在患有小主动脉环的年轻患者中.
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