老年患者受益于最少的侵入性 mitra 门手术:外科期间风险管理问题
Riccardo Cocchieri1, Iman Mousavi1, Eva C Verbeek1
1Department of Cardiothoracic Surgery, OLVG, Amsterdam, the Netherlands.
Interdisciplinary cardiovascular and thoracic surgery
|January 9, 2024
概括
对老年患者来说,最少的侵入性 mitra 门手术 (MIMVS) 提供了很好的结果. 在这群人群中,米特拉修复和更换都显示出可比的中期和长期生存率.
科学领域:
- 心血管外科心血管外科
- 老年医学 老年医学
- 最少侵入性手术的方法
背景情况:
- 老年患者在心脏手术方面面临着独特的挑战.
- 越来越多地使用微创性 mitra 门手术 (MIMVS).
- 评估这一弱势群体的结果至关重要.
研究的目的:
- 评估MIMVS在老年患者 (≥75岁) 的单中心结局.
- 为了比较米特拉修复与替换在这个人口群体中的结果.
主要方法:
- 对131名接受内镜MIMVS.的老年患者进行了回顾性分析.
- 患者被划分为修复 (n=85) 和替换 (n=46) 的两组.
- 评估了生存期和术后病程,随访时间中位数为3.8年.
主要成果:
- 在修复和替换组之间,术后病程或死亡率没有显著差异.
- 1年和5年的生存率分别为97.6%和88.6%.
- 在替代组中,观察到更长的心肺绕道和交叉合时间,更多的出血重新干预.
结论:
- 对于老年患者来说,MIMVS是一种安全有效的治疗方法.
- 在这个人群中,心心门的更换相当于死亡率和主要不良事件的修复.
- 标准化手术前查和手术经验对于最佳结果至关重要.
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