结构性心脏透导管干预在心脏移植和左心室辅助器件的接受者:全国性的研究
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Sara Blasco-Turrión1, Maria Generosa Crespo-Leiro2, Víctor Donoso Trenado3
1Cardiology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
International journal of cardiology
|July 11, 2024
概括
心脏移植 (HTx) 和左心室辅助器件 (LVAD) 患者的结构性透导管手术显示出良好的安全性和有效性. 发病率在各中心之间有很大差异,因此需要进行更大规模的研究才能提出正式的建议.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 透导管心脏治疗方法 透导管心脏治疗方法
背景情况:
- 在心脏移植 (HTx) 接受者和左心室辅助器件 (LVAD) 携带者中,结构性透导管手术的发生率和结果尚未得到充分确定.
- 了解这些结果对于管理复杂心脏病患者至关重要.
研究的目的:
- 调查西班牙HTx和LVAD患者的结构性透导管手术的发生率和结果.
- 提供关于这些干预措施在专业患者群体中的安全性和有效性的见解.
主要方法:
- 使用了一个多中心的,双观测的,观察性的全国性注册表.
- 数据收集到2023年5月,涵盖36个皮肤穿结构干预措施.
主要成果:
- 进行过导管边缘到边缘修复 (TEER) 进行了额头和三管,并进行过导管大动脉置换 (TAVR).
- 美特拉TEER显示出良好的疗效,其残留反率低,并且在1年内没有死亡率.
- 三管TEER和TAVR程序显示可接受的结果,死亡率和再接收率各不相同,并且没有与设备相关的死亡.
结论:
- 结构性穿皮手术在具有HTx/LVAD程序的中心进行,但发生率不一致.
- 这些程序与良好的安全性和有效性有关.
- 需要进行更大规模的研究,以便为这些患者群体制定正式的建议.
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