在和三管联合手术后永久心脏起器植入:全国性的多中心研究
Jules R Olsthoorn1,2, Andrew Tjon Joek Tjien1, Samuel Heuts3
1Department of Cardiothoracic Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
概括
在米特拉手术期间同时进行三管修复并不会显著增加永久心脏起器植入 (PPI) 的风险. 这一发现表明,将这些程序结合起来是安全的,可能会改善患者的治疗结果,而不需要更高的起器.
科学领域:
- 心血管外科心血管外科
- 心脏电生理学 心脏电生理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 最近的证据支持在初级 mitra (MV) 手术期间增加三管 (TV) 修复.
- 有关永久心脏起器植入 (PPI) 的风险存在担忧,并结合了MV和TV程序.
- 需要全国数据来评估这些联合手术中的PPI发病率.
研究的目的:
- 为了评估联合MV和TV手术后的PPI发病率.
- 为了比较隔离MV手术和联合MV + TV手术之间的PPI率.
- 在接受MV手术的患者中识别PPI的风险因素,包括或不包括同时进行TV修复.
主要方法:
- 使用荷兰心脏登记登记册,将心脏和心脏起器/ICD数据连接起来.
- 包括2021年1月1日至12月31日期间接受初级MV和TV手术的患者.
- 在30天内评估PPI,使用多变量逻辑回归来分析电视手术和PPI之间的关联.
主要成果:
- 包括1060名患者 (833名MV,227名MV + TV).
- 总体PPI发生率为4.3%;MV (3.7%) 和MV + TV (6.6%) 组之间没有显著差异 (P=0.06).
- 在调整后,同时进行电视手术并不是PPI的独立风险因素.
结论:
- 在MV手术和联合MV + TV手术之间没有观察到PPI率的统计学上显著差异.
- 进一步研究优化PPI的时间可能会降低费率.
- 这些发现支持在MV手术期间与心脏起器植入相关的同时进行电视修复的安全性.
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