用单个ProGlide®在跨导管大动脉植入中的大腿关闭:基于注册表的研究
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Kévin Roulot1, Marion Kibler1, Antonin Trimaille1
1Service de Cardiologie and Service de Chirurgie Cardio-Vasculaire, Pôle d'Activité Medico-Chirurgicale, Nouvel Hopital Civil, 67000 Strasbourg, Cedex, France.
Journal of clinical medicine
|October 16, 2025
概括
单一的ProGlide® (1P) 血管闭塞技术用于跨导管大动脉植入 (TAVI) 与传统的两种设备 (2P) 方法一样安全有效. 这种1P方法可以减少TAVI过程中的设备故障.
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
- 手术技术 手术技术
背景情况:
- 股骨动脉的血管关闭在跨导管大动脉植入 (TAVI) 中至关重要,有可能导致并发症.
- 标准的两种设备 (2P) ProGlide®技术是常见的,但一种单一设备 (1P) 方法正在出现.
研究的目的:
- 为了比较单个ProGlide® (1P) 关闭策略的疗效和安全性,与两种ProGlide® (2P) 技术在TAVI输血上进行比较.
- 为了评估两种关闭方法之间的血管并发症率和设备故障.
主要方法:
- 一项基于注册的研究,包括1303名连续接受 transfemoral TAVI 的患者.
- 从2020年1月到2023年12月在法国斯特拉斯堡大学医院收集的数据.
- 接受1P (n=733) 和2P (n=570) 关闭的患者之间的结局的比较.
主要成果:
- 血管并发症的发生率相似:1P的11.3%,2P的11.4% (p=0.964).
- 与2P (5.3%) 相比,1P技术 (1.6%) 的血管闭塞装置故障明显较低.
- 在1P病例中,在没有额外设备的情况下成功静血发生在30.4%的1P病例中.
结论:
- 单一的ProGlide® (1P) 预闭策略与传统的两种ProGlide® (2P) 方法对TAVI不逊色.
- 1P方法表现出可比的安全性和有效性,显著减少了设备故障.
- 1P战略在程序简单性和成本效益方面具有潜在的好处.
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