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用 Inspiris 门替换肺的短期和中期结果

Daniel K Ragheb¹, Elisabeth Martin², Ayush Jaggi²

¹Vanderbilt University School of Medicine, Nashville, Tennessee.

The Annals of thoracic surgery

|August 25, 2023

概括

与莫赛克在肺置换期间相比,Inspiris门随着时间的推移显示出更高的肺反率. 在这种位置的耐用性可能不优于Inspiris.

科学领域:

心血管外科心血管外科
生物假体心脏门生物假体心脏
肺门的更换肺门的更换

背景情况:

生物假体门用于肺门置换 (PVR) 的非标签.
对于PVR的最佳门没有达成共识.
灵感Resilia门最近被批准用于大动脉使用,并越来越多地用于PVR,具有有限的比较数据.

研究的目的:

为了比较INSPIRIS门与Mosaic门在肺门置换中的中期结果.
评估从中度或严重的肺反 (PR),高梯度和重新干预的自由.

主要方法:

对225名接受PVR治疗的患者进行了回顾性评估,使用大小为19-29毫米的INSPIRIS (n=62) 或Mosaic (n=163) 门 (2007-2022).
评估的中期结果包括肺反,多普勒梯度和重新干预的需要.

主要成果:

两组之间基线特征没有显著差异.
早期的术后梯度较低,但在马赛克组中较高;轻度PR在出院时类似.
在分析时,Inspiris门显示了随着时间的推移中度或更大的PR的显着更高的比率.
没有观察到免于重新干预或高梯度 (≥36 mm Hg) 的差异.

结论:

虽然早期的梯度相似,但随着时间的推移,Inspiris门具有更显著的肺吐.
在肺部位置上,Inspiris门的耐用性不能超过用于PVR的其他生物假体门.

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