机械与生物学本塔尔程序:对548名连续患者的倾向-得分匹配分析
Antonella Galeone1, Jacopo Gardellini1, Fabiola Perrone1
1Department of Surgery, Dentistry, Pediatrics and Gynecology, Division of Cardiac Surgery, University of Verona, 37126 Verona, Italy.
Journal of clinical medicine
|July 29, 2025
概括
本塔尔手术为大动脉疾病提供了良好的生存率. 机械导管显示类似的生存,但较少的重新干预比生物导管在本塔尔操作.
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
- 大动脉外科手术
背景情况:
- 班塔尔手术是上升大动脉/大动脉根动脉瘤与大动脉膜疾病的标准.
- 在这些复杂的情况下,节程序是不可行的.
研究的目的:
- 为了比较使用生物与机械管的本塔尔手术的早期和晚期结果.
- 为了评估两种管道类型之间的死亡率和再干预率.
主要方法:
- 548名接受本塔尔手术 (2001-2022) 的患者的回顾性审查.
- 倾向性得分 (PS) 匹配创造了两个154名患者的同质组.
- 分析的临床结果包括死亡率和重新干预率.
主要成果:
- 机械和生物本塔尔组之间的平均生存时间没有显著差异 (16 ± 0.8 vs 16.3 ± 0.7年,p=0.72).
- 机械本塔尔组显示显着更长的无重复干预的生存时间 (23.6 ± 0.4 vs 21.4 ± 0.7年,p=0.02).
- 年龄>65,术后ECMO和CVA被确定为死亡风险因素.
结论:
- 班塔尔手术是一种安全有效的治疗上升大动脉和大动脉根病.
- 与PS匹配的分析显示,机械和生物Bentall导管之间的死亡率没有差异.
- 与生物导管相比,机械本塔尔导管与更低的再干预率有关.
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