相关实验视频

Updated: May 6, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

在德国进行过导管大动脉置换,需要进行手术救助

Vera Oettinger¹, Ingo Hilgendorf², Dennis Wolf²

¹Department of Cardiology and Angiology, University Heart Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Center for Big Data Analysis in Cardiology (CeBAC), Department of Cardiology and Angiology, University Heart Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Journal of cardiology

|February 2, 2024

概括

德国过导管大动脉置换 (TAVR) 的外科救助率有所下降,但在这些手术后,住院死亡率仍然很高. 识别冠状动脉疾病等风险因素对于改善TAVR结果至关重要.

科学领域:

心血管干预心血管干预
医疗保健服务研究医疗服务研究
外科手术的结果

背景情况:

过导管大动脉置换 (TAVR) 过程中的并发症可能需要手术救助.
在德国,TAVR与外科手术救助后的结果没有得到充分的记录.

研究的目的:

调查德国需要手术救助的TAVR的发生率和结果.
在TAVR程序中识别与外科救助相关的风险因素.

主要方法:

对2007-2020年在德国医院进行的所有TAVR手术的国家健康记录的分析,重点是2018-2020年.
提取专门用于需要外科手术救助的TAVR病例的数据.

主要成果:

总共分析了159,643个TAVR手术,整体外科手术救助率为2.30%,住院死亡率为3.85%.
在2007-2020年间,外科救助率从27.23%大幅下降到0.61%,整体死亡率下降.
手术救助后的住院死亡率仍然很高 (总体为16.51%,2020年为28.37%). 与跨骨TAVR相比,跨骨TAVR的救助和死亡率较低.
冠状动脉疾病和心房动被确定为手术救助的关键风险因素.

结论:

虽然德国的TAVR和外科救助率有所下降,但救助后的住院死亡率仍然很高.
了解手术救助的风险因素对于改善患者准备和随后的管理至关重要.
减少外科救助的比例仍然是TAVR程序的关键目标.

关键词:

住院死亡率住院死亡率国家电子健康记录国家电子健康记录手术性救助计划可以帮助你.穿过导管的大动脉植入装置.通过导管更换大动脉门.

更多相关视频

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

相关概念视频

Mitral Stenosis III: Medical Management

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...

Aortic Regurgitation III: Medical Management

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...