通过导管的传单近似和直接annuloplasty的比较在三管吐
Laurin Ochs1, Maria Isabel Körber2, Hendrik Wienemann2
1Faculty of Medicine and University Hospital Cologne, Clinic III for Internal Medicine, University of Cologne, Kerpener Straße 62, 50937, Cologne, Germany. Laurin.Ochs@uk-koeln.de.
概括
对三管吐 (TR) 的透导管修复显示出有前途. 基于小册子的修复 (TEER) 和基于结婚整形的修复 (AP) 具有相似的安全性,但AP可能在特定患者中提供更好的TR降低.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 透导管修复是高风险手术患者三腹吐 (TR) 的新兴选择.
- 两个主要的透导管方法包括基于小册子的修复 (TEER) 和基于结婚整形的修复 (AP).
研究的目的:
- 为了比较TEER与AP的疗效和安全性,用于治疗相关TR.
- 根据患者特征和TR严重程度,识别潜在的结果差异.
主要方法:
- 在两个中心连续接受TEER或AP的患者的回顾性分析.
- 基线特征,手术成功和安全结果的比较 (30天死亡率,心脏病发作,中风等). ) 的情况.
主要成果:
- 分析了161名患者 (57%为女性,中位数年龄为79岁),具有可比的基线特征.
- 在TEER组中,基线TR的严重程度较小 (9.2%的流量与AP中的31.1%相比,p=0.001).
- 当与基线严重程度相匹配 (47.8%与26.1%,p=0.031) 时,AP显示显著更大程度地减少到小于中度的TR,具有类似的重大不良事件和6个月存活率.
结论:
- 观察到的差异表明,TEER和AP应根据个体患者的个人资料进行定制.
- TEER和AP的安全性可比,但在匹配患者中,AP可能更有效地减少TR的严重程度.
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