在围膜心室隔膜缺陷的闭塞和修复后,完全心脏阻塞
Li Lin1, Wanhua Chen1, Hang Chen1
1Department of Cardiology, Heart Center of Fujian Province, Fujian Medical University Union Hospital, Fuzhou, Fujian, P. R. China.
Acta cardiologica
|March 31, 2025
概括
与外科修复相比,围膜腹腔隔膜缺陷 (pmVSDs) 的设备关闭带来了完全心房导电阻塞 (CAVB) 的更高风险. 大型VSD大小和设备/缺陷比率是PMVSD治疗中CAVB的关键风险因素.
科学领域:
- 心脏病学 心脏病学
- 儿科心脏手术 儿科心脏手术
- 医疗器械技术 医疗器械技术
背景情况:
- 完整的心室导电阻塞 (CAVB) 是围膜心室隔膜缺陷 (pmVSD) 的干预后的一个显著并发症.
- 了解CAVB的发病率和风险因素对于改善pmVSD修复和封闭后的患者结果至关重要.
研究的目的:
- 分析pmVSD封闭和修复后的CAVB发生率.
- 在接受pmVSD关闭的患者中识别与CAVB相关的风险因素.
主要方法:
- 在2010年1月至2022年1月期间接受pmVSD封闭或修复的患者的回顾性评估.
- 永久性CAVB的定义是需要心脏起器植入或阻塞器提取.
- 多变量回归分析以确定独立的风险因素.
主要成果:
- 永久性CAVB的发生率为设备封闭的0.7%,手术修复的0.3%.
- 大的pmVSD大小和设备/缺陷比率是各自治疗组中CAVB的独立风险因素.
- 与手术修复相比,设备封闭与永久性CAVB的风险明显更高 (OR,4.675).
结论:
- 对于pmVSDs的设备封闭,永久性CAVB的风险比手术修复更高.
- 在pmVSD关闭时减轻CAVB风险的策略应考虑VSD大小和设备选择.
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