欧洲大动脉置换的模式:根据年龄的采用
Tanja Rudolph1, Clare Appleby2, Victoria Delgado3
1General and Interventional Cardiology/Angiology, Heart and Diabetes Centre Nord Rhine-Westphalia, University Hospital of the Ruhr University Bochum, Bad Oeynhausen, Germany.
Cardiology
|August 16, 2023
概括
大动脉置换 (AVR) 的使用和跨导管大动脉植入 (TAVI) 的采用在欧洲各国有很大差异. 越来越多地使用TAVI,特别是在接受主动脉置换的老年患者中.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 严重的大动脉狭窄症的管理策略可能因患者年龄而异.
- 了解年龄分层的大动脉置换 (AVR) 模式对于优化患者护理至关重要.
研究的目的:
- 分析和比较不同欧洲国家对大动脉置换手术 (AVR) 的使用情况.
- 检查AVR的特定年龄趋势,包括外科AVR (sAVR) 和透气管大动脉植入 (TAVI).
主要方法:
- 在12个欧洲国家中使用了2015-2020年sAVR和TAVI的程序量数据.
- 计算每百万 (PPM) 接受AVR的患者,按年龄组分层.
- 分析了人口估计,以确定AVR率.
主要成果:
- 在各国之间观察到AVR PPM的显著差异 (例如,德国在2020年有508个PPM,波兰有174个PPM).
- 过导管大动脉植入 (TAVI) 的采用率在25% (波兰) 到61% (瑞士,芬兰) 之间.
- 随着年龄的增长,AVR程序的增加,在80-84岁达到顶峰,年龄≥80岁的患者的实质性增长.
结论:
- 在欧洲国家之间,AVR的使用率和TAVI与SAVR的采用率存在相当大的差异.
- 过导管大动脉植入 (TAVI) 的使用量有所增加,特别是在老年患者群体中.
- 严重大动脉狭窄的年龄特定管理需要量身定制的方法,考虑到治疗方式的区域差异.
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