在初级跨导管大动脉置换后感染性内心炎的手术 - - 追溯单中心分析
Romina Maria Rösch1,2, Lena Brendel1,2, Katja Buschmann2
1Department of Thoracic Surgery, Thoraxklinik Heidelberg, Heidelberg University Hospital, 69126 Heidelberg, Germany.
Journal of clinical medicine
|August 26, 2023
概括
超导管大动脉置换 (TAVR) 的发生率正在上升,导致假内心炎的增加. 对TAVR感染性内心炎的手术干预提供了良好的结果,并且应考虑高风险患者.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 传染性疾病 传染性疾病
背景情况:
- 过导管大动脉置换 (TAVR) 是对大动脉狭窄的日益增长的治疗方法.
- 越来越多地使用TAVR导致有着大动脉假肢的患者数量增加.
- 因此,假内心炎的发病率正在升级.
研究的目的:
- 为了评估TAVR之后的假体内心炎患者的外科治疗结果.
- 评估手术干预在这个患者队列中的可行性和有效性.
主要方法:
- 在2016年3月至2019年7月期间,对10名为TAVR后的假发内心炎进行手术的患者进行了回顾性分析.
- 收集的数据包括患者人口统计,微生物学发现,假肢尺寸和临床结果.
主要成果:
- 传染性内心炎发生在TAVR后17±16个月,患者平均年龄为79岁.
- 在60%的阳性血液培养物中发现了Enterococcus faecalis.
- 发生了一例住院死亡;所有其他患者均存活了,平均随访时间为9个月.
结论:
- 在TAVR后的假内心炎是越来越令人担忧的,特别是在高危人群中.
- 对TAVR感染性内心炎的手术治疗可以产生有利的结果.
- 对于被诊断患有传染性内心炎的TAVR患者来说,手术应该仍然是一个可行的选择.
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