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在公共卫生紧急情况的灵活性期内,通过导管更换大动脉的结果

Daniel B Spoon¹, Sean Tunis², Jay Giri³

¹Providence Montana, Missoula, MT, USA.

Mayo Clinic proceedings

|August 2, 2024

概括

与PHE前期相比,在公共卫生紧急情况 (PHE) 灵活性期间,跨导管大动脉置换 (TAVR) 的结果保持一致. 这项大型研究在住院或30天TAVR结果中没有发现显著差异.

科学领域:

心血管医学心血管医学
干预心脏病学干预心脏病学
公共卫生政策公共卫生政策

背景情况:

COVID-19公共卫生紧急情况 (PHE) 在医疗保健提供中引入了灵活性.
过导管大动脉置换 (TAVR) 是大动脉狭窄的一个关键手术.
在PHE期间评估TAVR结果对于了解其对患者护理的影响至关重要.

研究的目的:

为了比较PHE期间的跨导管大动脉置换 (TAVR) 结果与PHE前期的灵活性.
在改变的监管和操作条件下评估TAVR的安全性和有效性.

主要方法:

对STS/ACC跨导管治疗注册表 (2019-2022) 的回顾性分析.
创建了两个队列:pre-PHE和peri-PHE,具有1:1的倾向得分匹配.
对比了住院和30天TAVR后的结果,包括死亡率,中风和并发症.

主要成果:

173,434名患者符合纳入标准;每个队列中有37,063名患者被匹配.
在医院治疗结果 (死亡率,中风,心脏起器,血管并发症) 之间没有发现任何显著差异.
同样,30天TAVR后的结果显示,PHE前期和PHE前期之间没有统计学上显著的差异.

结论:

在PHE期间执行的TAVR程序显示了与PHE之前执行的结果相似的结果.
这些发现表明,PHE的灵活性并没有对TAVR的安全性或有效性产生负面影响.
这项大规模研究支持在公共卫生危机期间继续使用和潜在地调整TAVR程序.

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