左心房附属体关闭的时间趋势和结果. 一个基于全国人口的研究
María Anguita-Gámez1, Náyade Del Prado2, Pablo Salinas1
1Instituto Cardiovascular, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria Hospital Clinico San Carlos (IdISSC), Madrid, Spain.
Revista espanola de cardiologia (English ed.)
|October 30, 2025
概括
左心房尾关闭 (LAAC) 程序越来越常见,用于预防心房动中风. 这项全国性的研究发现,LAAC使用量显著增加,死亡率低,在大量选择性环境中不良事件较少.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 公共卫生 公共卫生
背景情况:
- 左心房尾关闭 (LAAC) 是非膜心房动的关键中风预防策略.
- 了解时间趋势和结果对于优化患者护理至关重要.
研究的目的:
- 在全国人口中分析穿皮LAAC的时间趋势和结果.
- 确定影响与LAAC相关的不良事件和死亡率的因素.
主要方法:
- 一项以人口为基础的研究,分析了西班牙国家卫生系统7年 (2016-2022) 的皮肤间LAAC排出量.
- 评估发病率,患者特征,住院死亡率,不良事件 (AE) 和30天再入院.
主要成果:
- 每年,LAAC手术的发生率增加了23%,确定了3786名患者.
- 住院死亡率为1%,其中14.0%经历AE,3.5%在30天内再入院.
- 大批量中心和选择性程序与较低的AE率有关;HAS-BLED得分预测死亡率和AE.
结论:
- 通过皮肤的LAAC利用率显著增加,显示出有利的安全性,低的住院死亡率.
- 选择性程序和大量的中心与减少不良事件有关,这突显了程序集中和规划的重要性.
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