在用Trifecta门进行手术更换大动脉门后的现实结果和管理考虑
Dan Gutfinger1, Ibrahim Sultan2, Gorav Ailawadi3
1Abbott, Santa Clara, CA, United States of America.
概括
这项研究发现,超过80%的接受Trifecta外科动脉置换 (SAVR) 的患者在10年内不需要重新干预. 门内透管大动脉植入 (ViV-TAVI) 显示出比重复SAVR更好的存活率.
科学领域:
- 心血管外科心血管外科
- 生物材料科学 生物材料科学
- 健康 结果 研究 研究 结果
背景情况:
- 三合一手术大动脉置换 (SAVR) 由于其大开口面积和低梯度而受到青.
- 人们担心,三合一门的结构可能在早期恶化.
- 对Trifecta SAVR的长期结果和再干预率需要进一步调查.
研究的目的:
- 为了评估Trifecta门植入的长期临床结果.
- 评估三合一门再干预的速度和预测因素.
- 为了比较不同重新干预策略的结果.
主要方法:
- 一项现实研究分析了2011-2021年的医疗保险服务费索赔数据.
- 用三合一门进行SAVR的患者被确定并与设备数据联系起来.
- 卡普兰-梅尔方法评估了10年生存期和无需重新干预的情况 (重复SAVR或ViV-TAVI).
主要成果:
- 在23197名三重接收者中,10年生存率为32.3%.
- 在10年后,无需门再干预的自由率为82.4%.
- 年龄较小,女性性别,肥胖和小门大小 (19-21毫米) 预测重新干预. 与重复SAVR相比,ViV-TAVI显示了更好的手术生存率.
结论:
- 在现实世界医疗保险人口中,三合一门在10年内显示了超过80%的无需重新干预的自由.
- 与重复干预的重复SAVR相比,内透管大动脉植入 (ViV-TAVI) 提供了更好的手术生存率.
- 这些发现为Trifecta生物假体门患者的管理策略提供了信息.
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