没有现场心脏外科的TAVI计划:单中心回顾性研究
Rami Barashi1,2, Mustafa Gabarin1,2, Ziad Arow1,2
1Department of Cardiology, Meir Medical Center, Kfar Saba 4428164, Israel.
Journal of clinical medicine
|August 14, 2025
概括
过导管大动脉植入 (TAVI) 在心脏病科没有现场心脏手术时是安全有效的,当一个远程手术团队提供支持. 这种方法扩大了大动脉狭窄患者获得TAVI的机会.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 大动脉狭窄 (AS) 是最常见的膜心脏病,如果不治疗,会带来很大的风险.
- 目前的指导方针规定,由于潜在的并发症,通过导管进行大动脉植入 (TAVI) 的心脏手术必须在现场进行.
研究的目的:
- 评估TAVI计划在心脏病科没有现场心脏手术的可行性和结果.
- 评估与远程手术团队合作模型的有效性,以便在TAVI手术过程中进行备份.
主要方法:
- 在梅尔医疗中心实施了一项TAVI计划,在手术前后提供护理,并进行远程手术备份.
- 在2019年11月至2023年12月期间,连续149名严重大动脉狭窄患者接受了治疗.
- 干预心脏病学团队进行了手术,并提供了远程手术支持.
主要成果:
- 没有观察到中度至严重的膜漏洞或植入后梯度升高.
- 没有紧急的心脏手术是必要的;一个膜栓塞是通过皮肤进行的.
- 住院死亡率为零,有一个主要的血管并发症. 一年内心脏病死亡率很低.
结论:
- 跨关节TAVI可以在缺乏现场心脏手术的心脏病科中安全有效地进行.
- 与远程手术团队的合作是TAVI交付的可行策略.
- 建议进行进一步的多中心研究,以验证这些发现并支持更广泛的采用.
更多相关视频
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.7K
08:42Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
3.6K
相关概念视频
Acute Coronary Syndrome III: Diagnostic Studies
23
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
23
Cardiac Catheterization III: Left Heart Catheterization
207
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
207
Cardiac Catheterization II: Right Heart Catheterization
164
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
164
Mitral Stenosis III: Medical Management
21
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
21
