双动脉门的可比结果,用于快速部署的动脉门更换
Somin Im1, Kyung Hwan Kim1, Suk Ho Sohn1
1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Journal of chest surgery
|November 2, 2023
概括
使用爱德华兹直觉生物假体的快速部署大动脉置换显示,双和三大动脉的早期结果与双和三大动脉类似. 这种方法对双主动脉疾病,包括0型,是安全有效的.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 生物材料科学 生物材料科学
背景情况:
- 爱德华兹直觉生物假体通常是对双主动脉疾病的禁忌.
- 这项研究研究了其在双管与三管主动脉中的应用.
研究的目的:
- 为了比较早期心声和临床结果的快速部署主动脉置换 (RD-AVR) 使用爱德华兹的直觉生物假体在患有双和三主动脉的患者.
- 评估两大动脉类型 (0对1或2) 的子组分析中的结果.
主要方法:
- 对252名用爱德华兹直觉进行RD-AVR的患者进行了回顾性分析.
- 患者被分为双 (n=147) 和三 (n=105) 大动脉组.
- 早期回声心脏图像 (对膜泄漏) 和临床结果的比较,与双膜类型的子组分析.
主要成果:
- 双骨组包括更多的男性和年轻的患者,并患上较少的并发症.
- 在双体和三体组之间,≥轻度体泄漏 (5.5%与1.0%,p=0.09) 或早期临床结果的发生率没有显著差异.
- 亚组分析显示,对0型与1型或2型双门的结果在对门泄漏和临床结果方面相似.
结论:
- 用爱德华兹直觉生物假体进行的RD-AVR显示,双管和三管主动脉的早期心声学和临床结果相似.
- 该程序对0型双主动脉产生了令人满意的结果,挑战了以前的禁忌.
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