跨导管大动脉的五年多重比较:来自OBSERVANT II研究的见解
Giuliano Costa1, Marco Barbanti2, Stefano Rosato3
1Division of Cardiology, AOU Policlinico "G. Rodolico-San Marco," University of Catania, Catania, Italy.
The Canadian journal of cardiology
|December 1, 2024
概括
用四种不同的心脏门进行过导管大动脉置换 (TAVR) 在五年内显示出类似的有效性. 然而,Sapien 3门显示,由于心力衰竭而重新住院的比例有所降低.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 对于第二代和第三代跨导管心脏门 (THV) 存在有限的对比.
- 大多数研究侧重于双臂比较和中期随访.
研究的目的:
- 使用四种不同的THV平台,同时比较通过导管的大动脉置换 (TAVR) 的临床结果.
- 在五年后续期间评估这些结果.
主要方法:
- 展望性多中心研究 (OBSERVANT II) 包括2493名接受 transfemoral TAVR.患者.
- 根据基线特征调整的治疗权重的逆倾向 (IPTW).
- 主要终点:5年所有原因死亡和主要心脏和脑血管不良事件 (MACCE).
主要成果:
- 在IPTW调整5年后,在四个THV组中没有观察到任何原因死亡或MACCE率的显著差异.
- 与其他THV相比,Sapien 3 THV组的心力衰竭 (HF) 再住院率明显较低 (P=0.02).
结论:
- 现实数据表明,在TAVR中,所有评估的THV在5年内都具有持续和可比的有效性.
- 萨皮恩3门在减少心力衰竭再入院方面表现出了特定的优势.
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