适用于SAPIEN 3气球扩展的ABC双尺寸协议
Tej Sheth1, Umar Ismail1, Jorge Chavarria1
1Division of Cardiology and Cardiac Surgery, McMaster University and Hamilton Health Sciences, Hamilton, Canada.
Structural heart : the journal of the Heart Team
|September 2, 2025
概括
在双主动脉狭窄转导管主动脉置换 (TAVR) 中,气球可扩展 (BEV) 的新尺寸算法显示出很高的成功. 这种方法精确地选择患者,实现了卓越的技术和设备成功率.
科学领域:
- 心脏病学
- 干预心脏病学
- 心脏外科
背景情况:
- 精确的患者选择气球扩展 (BEV) 跨导管大动脉置换 (TAVR) 在双大动脉狭窄仍然具有挑战性.
- 计算机断层扫描 (CT) 对于手术前评估至关重要.
研究的目的:
- 在双主动脉狭窄患者中评估SAPIEN 3 BEV的新型大小算法.
- 评估该算法在TAVR患者选择中的有效性.
主要方法:
- 一个潜在的单中心注册包括接受TAVR或外科动脉置换的双主动脉狭窄患者.
- ABC双尺寸算法标准包括环状面积,左心室外流通道 (LVOT) 面积,腔间距离,鼻腔直径和叶片化.
- 研究的终点是30天的技术和设备成功.
主要成果:
- 106名患者接受了TAVR,而10名患者由于解剖学的限制而进行了手术AVR.
- 在大多数TAVR患者中,该算法主要以环状区域 (77. 5%) 和LVOT区域 (21. 7%) 来指导最终的门大小.
- 技术成功率高 (99%) 和30天设备成功率高 (96.2%).
结论:
- 一个专门的BEV大小算法有效地选择双主动脉狭窄的TAVR患者.
- 该算法促进了设备的高成功率,改善了该程序的患者选择.
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