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经过过导管大动脉和心心膜植入的跨吸管方法的十年经验

Antonella Galeone¹, Fabiola Perrone¹, Gabriele Pesarini²

¹Department of Surgery, Dentistry, Pediatrics and Gynecology, Division of Cardiac Surgery, University of Verona, 37126 Verona, Italy.

Journal of cardiovascular development and disease

|July 26, 2024

概括

透管式 (TA) 方法是一种安全和有效的替代方案,用于在不适合 transfemoral (TF) 接入的患者中进行透管主动脉植入 (TAVI),其死亡率和并发症率较低.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
心脏外科手术心脏外科手术

背景情况:

跨关节 (TF) 接入是通过导管的大动脉植入 (TAVI) 的最佳方式,因为它具有最小的侵入性.
然而,10-15%的TAVI候选人患有外周血管疾病,阻止了TF接入,需要使用替代方法.

研究的目的:

评估TAVI的跨管 (TA) 方法的安全性和有效性,用于对TF接入有禁忌的患者.
为了评估这个患者队列的周围和后过程结果.

主要方法:

进行了一项单一中心的回顾性观察研究.
包括从2015年3月到2024年4月通过TA方法连续接受过导管程序的成年患者.
分析了患者人口统计数据,程序细节和结果.

主要成果:

213名患者通过TA方法进行了跨导管大动脉或心心膜植入.
平均年龄为79.5岁,其中54%是男性,平均Euroscore II为7.9%.
总体平均存活时间为5.3年,4%的患者在随访期间患有传染性内心炎 (IE).

结论:

跨吸管 (TA) 方法是一种安全有效的替代TAVI在不适合TF接入的患者.
它提供了较低的周围手术死亡率和较低的手术后并发症率.
成功的结果与经验丰富的外科和心脏病学团队有关.

关键词:

跨的接入方式穿过导管的大动脉植入装置.门中的门

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