在左心室辅助器件患者中,通过导管替换主动脉,以缓解主动脉吐:一个机构经验
Hanad Bashir1, Gustavo Mendez-Hirata1, Christian W Schmidt1
1The Christ Hospital Heart and Vascular Institute and the Lindner Center for Research and Education, Cincinnati, Ohio.
Journal of the Society for Cardiovascular Angiography & Interventions
|September 11, 2025
概括
通过导管的大动脉置换 (TAVR) 是左心室辅助器件 (LVAD) 和大动脉吐 (AR) 的患者可行的选择. 这项研究显示出有希望的结果,但需要进一步的研究,以获得最佳的患者选择和设备选择.
科学领域:
- 心脏病学 心脏病学
- 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:
- 大动脉反 (AR) 是左心室辅助器件 (LVAD) 患者的常见并发症.
- 有限的数据存在的可行性和安全性通过导管大动脉置换 (TAVR) 的AR在LVAD患者.
- 这项研究解决了在这个特定患者群体中对TAVR结果的数据需求.
研究的目的:
- 描述接受TAVR的LVAD和AR患者的临床特征和结果.
- 评估TAVR作为LVAD患者AR治疗的可行性和安全性.
主要方法:
- 对7名患有LVAD和显著AR的患者进行了回顾性分析,他们接受了TAVR.
- 数据收集包括基线临床和心声学特征.
- 结果使用Valve学术研究联盟3标准进行评估.
主要成果:
- 所有7名患有LVAD和中度至重度AR的患者都通过输血管接入成功接受了TAVR.
- 患者活着出院,没有或轻微的残留AR.
- 并发症包括1个装置栓塞和1个门迁移,这两种情况都发生在接受商业可用的自扩张门的患者中.
结论:
- 对于一些LVAD和AR患者来说,TAVR是一种可行的治疗选择,有可能改善治疗结果.
- 需要进一步的研究来确定程序风险和最佳的患者选择.
- 在这种人群中,专门为AR设计的TAVR门的作用需要进一步研究.
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