在患有三回的患者中接受过导管三管干预的资格
Tetsu Tanaka1, Johanna Vogelhuber1, Can Öztürk1
1Department of Internal Medicine II, University Hospital Bonn, Bonn, Germany.
JACC. Cardiovascular interventions
|December 11, 2024
概括
许多患有三回 (TR) 的患者不适合通过导管进行三门干预 (TTVI). 很大一部分人仍然不符合跨导管三门边缘修复 (T-TEER) 和跨导管三门更换 (TTVR) 的条件,即使使用了新设备.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 三回 (TR) 是一种常见的膜心脏病.
- 通过导管三门干预 (TTVI) 为TR提供了新的治疗选择.
- 对TTVI患者的选择仍然是一个临床挑战.
研究的目的:
- 确定在TR患者中进行跨管三管边缘修复 (T-TEER) 和跨管三管置换 (TTVR) 的资格率.
- 确定影响T-TEER和TTVR适合性的解剖学因素.
主要方法:
- 对491名TR患者的回顾性审查考虑了TTVI.
- 对T-TEER可行性的解剖学评估 (有利,可行,不利).
- 使用心脏计算机断层扫描 (CCT) 评估TTVR的临床和解剖学资格.
主要成果:
- 32.0%的患者对T-TEER有不利的解剖学,主要是由于大的合差距和TR喷气位置.
- 62.7%的CCT图像患者不符合TTVR的条件,通常是因为大三 annuli.
- 23.2%的患者不符合T-TEER和TTVR的条件.
结论:
- 很大一部分TR患者不适合当前的T-TEER或TTVR设备.
- 解剖学限制显著影响T-TEER和TTVR的资格.
- 需要进一步开发设备,以满足所有符合干预条件的TR患者的需求.
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