在TAVR之后,中枢透管边缘到边缘的修复:全国性的分析
Ahmed Elkaryoni1, Marwan Saad1, Amir Darki2
1Division of Cardiovascular Disease, Lifespan Cardiovascular Institute, Providence, Rhode Island; Division of Cardiovascular Disease, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
The American journal of cardiology
|October 20, 2023
概括
在经过透气管大动脉置换 (TAVR) 后, mitra 透气管边缘到边缘的修复 (M-TEER) 正在增加. 虽然M-TEER后TAVR显示了类似的死亡率,但它有更高的30天住院治疗,但90天的率降低了.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 持续严重的额叶吐 (MR) 在透气管后的大动脉置换 (TAVR) 构成了临床挑战.
- 两透管边缘到边缘修复 (M-TEER) 是一种新兴的选择,用于管理TAVR后的MR.
研究的目的:
- 为了评估M-TEER在以前有TAVR的患者和没有TAVR的患者的结局.
- 分析TAVR后进行的M-TEER手术的趋势.
主要方法:
- 全国再接收数据库 (2014-2020年) 的回顾性分析.
- 在TAVR后的M-TEER和没有先前TAVR的M-TEER之间的住院死亡率和30/90天再住院率的比较.
- 由于数据限制,分析仅限于每年下半年.
主要成果:
- 在TAVR后的M-TEER发生率从2014年到2020年大幅增加.
- 与对照组相比,接受M-TEER后TAVR的患者的住院死亡率类似,但与对照组相比,所有原因和心力衰竭住院的30天时间更高.
- 然而,M-TEER在TAVR后队列中显著降低了90天所有原因和心力衰竭的累积住院率.
结论:
- 在TAVR之后,M-TEER越来越多地用于严重的MR.
- 虽然短期再住院率较高,但M-TEER在减少先前TAVR患者住院的长期利益方面具有显著的长期益处.
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