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心脏移植后心脏起器植入 - 发生率和危险因素. 一个单一中心的经验
Anna Boluk1, Mateusz Sokolski2, Mateusz Rakowski1
1Institute of Heart Disease, Cardiothoracic Surgery Department, University Hospital, Wroclaw, Poland.
Transplantation proceedings
|May 2, 2024
概括
在心脏移植 (HTx) 后,心脏起器植入是常见的,特别是在双技术中. 较高的供体年龄和BMI增加了需要HTx后心脏起器的风险.
科学领域:
- 心脏病学 心脏病学
- 移植手术 移植手术
背景情况:
- 勃拉迪心律失常是心脏移植 (HTx) 后的常见并发症.
- 常常需要心脏起器 (PM) 植入来管理这些导电障碍.
- 目前的HTx技术包括双和全心移植方法.
研究的目的:
- 为了确定需要在HTx后进行PM植入的导电障碍的发生率.
- 确定与这些疾病相关的风险因素,包括捐赠者参数和手术技术.
主要方法:
- 分析了111名心脏移植接受者的队列.
- 患者被分为需要PM植入的患者和不需要的患者.
- 捐赠者参数,移植缺血,运输时间和手术技术在各组之间进行了比较.
主要成果:
- 9%的HTx患者 (111例中10例) 需要进行PM植入.
- 鼻节功能障碍和完整的心房静脉阻塞是PMs的主要征兆.
- 较高的捐赠者年龄 (48岁对40岁) 和BMI (28kg/m2对26kg/m2) 与需要PM显著相关.
- 在所有需要PM的患者 (100%) 中使用了双解技术,而非PM组 (P=0.044) 中使用了70% (P=0.044).
结论:
- 心脏起器植入仍然是HTx后的常见需求,即使使用先进的手术方法.
- 双技巧与需要节奏的勃拉迪亚心律失常的发病率较高有关.
- 增加的供体年龄和BMI是PM植入的重大风险因素,考虑到不断变化的供体心脏选择标准,这些因素是相关的.
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