[MSB-66]气球扩张是否增加了在无动脉置换中需要永久起器的需求?
Adem Reyhancan1, Fadil Shehu1, Mürsel Büyükadali1
1Department of Cardiovascular Surgery, Trakya University Faculty of Medicine, Edirne, Türkiye.
Turk gogus kalp damar cerrahisi dergisi
|May 5, 2025
概括
在无门更换过程中气球膨胀可能会增加对永久起器的需求. 虽然临床结果很好,但这种技术需要仔细考虑心脏起器的依赖性.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 生物假体器件 生物假体设备
背景情况:
- 无纹的大动脉提供了一种对外科大动脉置换的不那么侵入性的方法.
- 气球扩张有时用于优化这些门的座位和功能.
- 气球扩张对心脏起器要求的影响尚未完全理解.
研究的目的:
- 评估在接受无动脉生物假体的患者中气球扩张的结果.
- 为了确定该程序后临时和永久心脏起器植入的发生率.
- 评估气球辅助无动脉更换的安全性和有效性.
主要方法:
- 对38名通过无生物假体进行大动脉置换手术的患者进行了回顾性评估.
- 包括在30秒内以4 atm的速度接受气球扩张的患者.
- 收集人口统计,心声回声和随访数据.
主要成果:
- 平均术后大动脉梯度显著降低至11.52±3.36 mmHg.
- 三名患者 (7.9%) 在手术后需要临时起器.
- 最终有3名患者 (7.9%) 需要永久性心脏起器植入,原因是 complete atrioventricular block.
结论:
- 无形的大动脉生物假体显示了令人满意的临床结果.
- 在手术期间使用气球扩张与对永久起器的需求增加有关.
- 在使用无门的气球扩张时,仔细选择患者和程序监测至关重要.
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