腹腔动脉冲动和过早的腹腔复合物切除:一个机构的经验
Hema Srikanth Vemulapalli1, Juan F Rodriguez-Riascos1, Padmapriya Muthu1
1Division of Cardiovascular Diseases, Mayo Clinic Hospital, Phoenix, Arizona.
Heart rhythm O2
|April 15, 2025
概括
腹腔切除术的心脏上门在某些情况下是成功的,但长期的结果是不理想的. 晚期疾病和持续的诱导性预测心室心律失常的结果不好.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 干预心脏病学 干预心脏病学
背景情况:
- 用于腹腔失常 (VA) 切除心脏上门是复杂且很少进行的手术.
- 这种方法通常被认为是当内心脏剥离策略失败或不可行时.
研究的目的:
- 为了评估结局,成功预测因素和心室切除期间心上膜入口的并发症.
- 识别影响心上腹腔室切除成功率的因素.
主要方法:
- 一个多中心,回顾性,观察性研究,分析了2004-2024年的数据.
- 包括265名患者接受了心室动脉冲动 (VT) 或心室过早综合体 (PVC) 切除与心上门.
主要成果:
- 61.7%的患者获得了急性成功 (非诱导性),29%的患者获得了部分成功.
- 在61个月的中位数随访后,35.5%的患者死亡,13.3%接受了心脏移植,31.6%需要重复切除.
- 一年无事件生存率为50%.
结论:
- 在特定的患者群体中,心接入可以导致成功的腹腔切除术.
- 切除后的晚期疾病严重程度和残留诱导性与较差的长期结果有关.
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