与气球顶临时起器相比,临时永久起器与更好的临床和安全结果有关
Maroun Chedid1, Gautam R Shroff2,3, Omer Iqbal2,3
1Department of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.
Pacing and clinical electrophysiology : PACE
|January 19, 2024
概括
临时永久起器 (TPPM) 为气球倾斜临时起器 (BTTP) 提供了更安全的替代方案,减少并发症,并使患者能够更早地行走. 这项研究突出了TPPMM的特点.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 临床研究 临床研究
背景情况:
- 气球倾斜临时心脏起器 (BTTP) 广泛使用,但存在脱落和血栓栓塞的风险.
- 临时永久心脏起器 (TPPM) 正在作为一种替代品出现,但对比结果的数据有限.
研究的目的:
- 为了比较TPPM与BTTP的安全概况.
- 评估二次结果,包括患者出行和医疗保健利用情况.
主要方法:
- 在2014年至2022年期间,对126名接受临时起器安置的患者进行了回顾性图表审查.
- 分析主要安全结果和二次目标,如行走和医疗保健使用.
- 对TPPM和BTTP组进行比较,TPPM的下静脉接入,BTTP的股骨静脉接入.
主要成果:
- 在TPPM组,脱落,血栓栓塞和感染明显减少 (OR=0.23).
- 只有在TPPM组 (55.6%,p <.001) 中,患者的行走是可能的.
- 根据TPPM的医院监测设置,没有发现不良事件的显著差异.
结论:
- 与BTTP相比,TPPM具有更高的安全性.
- TPPM有助于提前行走,并可能减少医疗保健利用率.
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