穿管-穿管大动脉替换的长期结果
Koichi Maeda1, Kazuo Shimamura2, Isamu Mizote3
1Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, 565-0871, Osaka, Japan. k-maeda@surg1.med.osaka-u.ac.jp.
General thoracic and cardiovascular surgery
|October 23, 2024
概括
跨吸管 - 跨导管大动脉置换为具有挑战性血管接入的患者提供了令人满意的长期结果. 这种最少的侵入性方法仍然是一个可行的选择,证明了随着时间的推移显著的生存率和低的中风率.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 跨吸管 - 跨导管大动脉置换 (TA-TAVR) 对于外围道难以进入的患者至关重要.
- 此前,TA-TAVR的长期结局数据缺乏.
研究的目的:
- 为了评估跨apical-transcatheter 大动脉替换的长期临床结果.
- 为了评估TA-TAVR后的生存率,心血管死亡率和中风率.
主要方法:
- 对173名患有先天主动脉狭窄症的患者进行了回顾性分析,这些患者接受了TA-TAVR.
- 评估早期和长期结果,包括生存率和不受不良事件的影响.
主要成果:
- 平均随访时间为4.3年,8年生存率为22.1%.
- 8年内心血管疾病死亡率为53.5%;8年内心血管疾病死亡率为90.8%;8年内心血管疾病死亡率为90.8%.
- 男性性别和血液透析被确定为不良预后因素.
结论:
- 跨吸管-跨导管大动脉替换显示了令人满意的长期结果.
- 该程序具有较低的血管影响,尽管采用了替代方法,但仍然发挥着重要作用.
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