多检测器CT衍生型三管环测量预测,在过导管大动脉置换后,三管吐减少
1Department of Cardiology, West China Hospital, Sichuan University, 37 Guoxue Road, 610041 Chengdu, China.
Clinical radiology
|August 13, 2023
概括
多检测器行计算断层扫描 (MDCT) 对三管环 (TA) 的测量预测了经过跨导管大动脉置换 (TAVR) 后三管吐 (TR) 的减少. 在TAVR后持续的TR与增加的再住院率有关.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 心脏外科手术 心脏外科手术
背景情况:
- 三管吐 (TR) 是常见的在患者接受过导管大动脉置换 (TAVR).
- 预测TAVR后的TR降低对于患者的治疗结果至关重要.
- 多检测器行计算断层扫描 (MDCT) 提供了详细的解剖评估.
研究的目的:
- 用MDCT衍生的三环 (TA) 测量来确定TR减少的预测因子.
- 评估TR变化在TAVR后的预后影响.
主要方法:
- 对266名接受TAVR治疗的患者进行了回顾性单中心研究,基线轻度或重度TR.
- 使用MDCT测量TA参数.使用MDCT测量TA参数.
- 对TR减少和再住院率的分析.
主要成果:
- 45.1%的患者经历了超过一个等级的TR降低.
- 减少TR的预测因素包括TA-commissionure距离,基线TR严重程度,肺动脉压力,年龄和心房动.
- 没有TR降低的患者的再住院率更高 (HR 0.642).
结论:
- 来自MDCT的TA参数预测了TAVR之后的TR减少.
- 在TAVR后持久的TR与重新住院的增加有关.
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