相关实验视频

Updated: Jun 26, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

大动脉根置换的滴答钟 - 在紧急和紧急的大动脉根置换后使用BioIntegral和FreestyleTM生物导体的单中心体验

Konstantina Spetsotaki^1,2, Jingjing Shi², Ajay Moza²

¹Department of Thoracic Surgery, University Hospital Zurich, Raemistrasse, Zurich, Switzerland.

Brazilian journal of cardiovascular surgery

|May 30, 2025

概括

在高风险患者中,使用大动脉生物导体进行大动脉根置换的本塔尔手术显示死亡率为15.4%. 主要替代品的存活率比重新手术的情况要好,BioIntegral和Medtronic Freestyle生物导体的结果类似.

科学领域:

心血管外科心血管外科
胸部外科手术胸部外科手术
医疗器械医疗器械

背景情况:

需要完全的大动脉根替换的大动脉根病理会带来重大的外科手术挑战.
这些复杂的疾病与高发病率和死亡率有关,通常影响高风险患者.

研究的目的:

报告使用大动脉生物导体进行大动脉根置换的本塔尔手术的患者的手术经验和临床结果.
为了比较BioIntegral (BI) 和Medtronic FreestyleTM (FS) 生物导体在一次性和再手术性大动脉根置换中的临床结果.

主要方法:

在2015年1月至2020年9月期间,对26名接受了BI或FS生物导体的大动脉根替代术的患者进行了回顾性分析.
患者接受了紧急或紧急手术,随访时间为2023年12月.

主要成果:

共有26名患者 (11BI,15FS) 接受了主动脉根置换,主要是因为感染原因 (23例).
住院和30天死亡率为15.4% (4/26). 初级大动脉根置换显示的生存率明显高于重复的情况下.
生物整合性 (BI) 手术需要更长的心肺绕道时间,但BI和FS生物导体之间的临床结果是可比的.

结论:

使用大动脉生物导体的本塔尔手术是复杂病例中大动脉根置换的可行选择.
虽然BI手术的绕道时间更长,但BI和FS生物导体表现出类似的临床结果.
建议与更大的患者队伍进行进一步的研究,以深入了解这种复杂的外科实体.

关键词:

大动脉门大动脉门生物假体是一种假体.通过心肺绕道术 (Cardiopulmonary Bypass) 进行心肺绕道.医院医院医院医院门诊患者门诊患者胸前大动脉胸前大动脉

更多相关视频

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

相关概念视频

Aortic Regurgitation I: Introduction

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...