当代指导方针指导的重症大动脉狭窄症患者的管理
Xi Wang1,2, Ketina Arslani1, Philippe Nuyens1
1The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
概括
在2021年,越来越多地使用过导管大动脉植入 (TAVI) 来治疗严重的大动脉狭窄 (AS),与欧洲指南保持一致. 心脏团队的方法确保AS患者的个性化治疗决策.
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:
- 建议在严重的大动脉狭窄 (AS) 时进行外科大动脉置换 (SAVR) 和透气管大动脉植入 (TAVI).
- 2021年欧洲指南为特定的患者子组提供了建议.
研究的目的:
- 评估心脏团队治疗严重症状AS的过程.
- 报告丹麦东部的现实世界TAVI和SAVR实践.
- 评估遵守最新的欧洲指导方针.
主要方法:
- 预计将在2021年连续记录672名严重AS患者.
- 针对所有患者的多学科心脏团队会议.
- 在评估之前,对所有患者进行心脏计算机断层扫描 (CT) 分析.
主要成果:
- 68%的严重AS患者被转诊接受TAVI治疗.
- 94%的人接受了心脏团队推的治疗.
- 与SAVR患者相比,TAVI患者年龄较大,并患上更多的并发症 (78.4岁与67.2岁).
- 30天的结果令人满意 (1.1%的死亡率);TAVI患者住院时间较短.
结论:
- 在2021年,TAVI常用于低风险患者,反映了指导方针的实施.
- 专门的心脏团队与CT的会议对于个性化的AS管理至关重要.
- 这种方法支持在不断变化的大动脉干预领域的决策.
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