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跨导管大动脉更换后同日出院的可行性:北岸白天停留路径

Karan Rao^1,2,3, Princess Neila Litkouhi^1,2, Alexandra Baer³

¹Department of Cardiology, Royal North Shore Hospital, St. Leonards, Reserve Road, Sydney, 2065, Australia.

Heart and vessels

|September 22, 2025

概括

在澳大利亚选择的低风险患者中,通过导管大动脉置换 (TAVR) 后的当日出院是安全的. 这种方法在自扩展和气球扩展上都是可行的,支持临床途径验证.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
医疗保健服务研究医疗服务研究

背景情况:

过导管大动脉置换 (TAVR) 是严重的症状大动脉狭窄症的关键治疗方法.
扩大TAVR的征兆增加了对医院资源的需求.
之前对TAVR后同一天排泄 (SDD) 的研究是有限的,特别是在澳大利亚人群中和自扩张门中.

研究的目的:

在澳大利亚队列中评估血液输血TAVR后,同日出院 (SDD) 的安全性和可行性.
评估局部衍生临床途径 ("北岸途径") 在确定适合SDD的候选者的有效性.
为了比较SDD患者与传统出院患者之间的住院和30天的结果.

主要方法:

在澳大利亚两个大批量中心 (2021-2023) 招募接受移植TAVR的患者.
"北岸路径"的回顾性应用,以确定潜在的SDD候选人.
在SDD队列 (n=20) 和标准放电队列 (n=162) 之间的结果比较.

主要成果:

11.0%的患者符合SDD标准,与标准出院队列相比,基线或程序特征没有显著差异.
SDD队列包括自扩展式 (67.3%) 和气球扩展式 (32.7%) 门.
在SDD和标准出院组之间没有观察到医院或30天不良结果的显著差异. 在SDD组的再入院不常见,主要是非心血管.

结论:

在TAVR后的同日出院是澳大利亚选定的患者群体中可行的和安全的策略.
"北岸路径"是一个有希望的工具,用于识别适合SDD的低风险TAVR患者.
建议对临床途径进行进一步的前性验证,以优化TAVR的SDD协议.

关键词:

大动脉门的更换同一天的放电.

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