对肺狭窄的比较性透导管干预:跨儿科和兽医心脏病中心的多中心合作研究
L E Markovic1, B A Scansen2, G Hiremath3
1Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602, USA.
概括
透气管干预,如气球肺膜整形,对于治疗儿童和狗的肺狭窄症 (PS) 是有效的. 两种物种的成功率都很高,儿童的结果略有改善.
科学领域:
- 心脏病学 心脏病学
- 兽医医学 兽医医学 兽医医学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 肺狭窄 (PS) 是一种先天性心脏缺陷.
- 过导管干预已经改变了PS治疗.
- 对儿科和兽医患者的比较研究对于理解PS干预有价值.
研究的目的:
- 描述儿童和狗的特征和直接结果,这些儿童和狗接受了因先天性PS而进行的跨导管干预.
- 为了比较儿科和犬种群之间的手术成功和患者特征.
主要方法:
- 多中心,对儿科和兽医中心的数据进行回顾性审查.
- 包括2019年7月至2021年6月的数据.
- 对人口统计,程序特征和结果的评估,成功的定义是肺压梯度 (PG) 的显著降低.
主要成果:
- 分析了78名儿童和165只狗的数据.
- 气球肺整形 (BPV) 是两个组的主要干预措施.
- 在96%的儿童和84%的狗中取得了成功的跨导管干预,狗的初始PG更高.
结论:
- 瓦尔瓦尔PS在儿童和狗中都存在,尽管病变特征可能有所不同.
- 狗呈现出较高的手术前PG,并且更频繁地接受β-阻断剂.
- 过导管干预在患PS的儿科和狗患者中显示出高的成功率.
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