在TAVI之后感染性假肢内心炎的手术治疗:一个单一中心的经验
Alexander Weymann1, Ali Saad Merzah1, Arian Arjomandi Rad2
1Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany.
Diagnostics (Basel, Switzerland)
|June 27, 2024
概括
通过导管大动脉植入后感染性假体内心炎 (IE) 的手术干预具有挑战性,但成功. 这份对五名患者的综述显示,患者的治疗结果良好,死亡率不高,这表明手术是这种高风险群体的可行选择.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 传染性疾病 传染性疾病
背景情况:
- 传染性假体内心炎 (IE) 经过透气管大动脉植入后 (TAVI) 的死亡率很高.
- 在TAVI后的IE手术管理面临重大挑战.
- 关于TAVI后IE手术后果的文献有限.
研究的目的:
- 审查我们中心在TAVI后患者中对IE进行手术干预的经验.
- 分析TAVI后IE手术治疗的结果,挑战和复杂性.
- 为提供有关此主题的当前文献的概述.
主要方法:
- 对临床结果的回顾性分析.
- 包括5名需要手术的TAVI后IE患者 (2017年7月至2022年7月).
- 遵守已修改的杜克诊断标准.
主要成果:
- 所有手术都是成功的,没有手术或术后死亡率.
- 患者 (80%男性,平均年龄为76±8.6岁) 呈现出呼吸障碍 (NYHAII类).
- 平均随访时间 (121-1973天) 没有显示中风,心肌梗塞或严重出血;一个无关死亡发生在手术后3.7年.
结论:
- 在仔细的患者选择和多学科方法下,可以实现TAVI后IE的手术治疗.
- 良好的结果表明,手术干预是高风险患者的可行选择.
- 迫切需要更多的研究与更大的队伍来改善理解和改进战略.
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