结构性心脏病干预措施的利用和结果在先前接受过中静脉辐射的患者中
Mahmoud Ismayl1, Hasaan Ahmed1, Andrew M Goldsweig2
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
JACC. Advances
|November 9, 2025
概括
之前的中静脉辐射没有影响过导管大动脉和中枢干预的医院治疗结果. 然而,先前接受放射治疗的患者在左心房尾闭塞后的90天再入院率较高.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗干预 医疗干预
背景情况:
- 之前的中线辐射可能会影响结构性心脏病 (SHD) 干预的结果.
- 了解这些影响对于患者管理和程序规划至关重要.
研究的目的:
- 评估先前接受和没有接受中线辐射的患者的SHD干预结果.
- 为了比较这些群体之间的住院死亡率,并发症,资源利用率和再入院情况.
主要方法:
- 全国再接收数据库 (2016-2022) 的分析.
- 包括接受SHD干预的18岁以上的患者 (TAVR,TMER,TMR,LAAO).
- 医院治疗结果的后勤回归和90天再入院的考克斯模型.
主要成果:
- 在810,849次SHD干预中,1.3%的患者先前接受过中腔辐射.
- 在先前接受放射治疗的患者中,TAVR,TMER和TMR的利用率更高.
- 在调整后的住院死亡率,并发症或资源利用率方面没有显著差异.
- 对TAVR和TMER的90天再入院率类似,但在先前放射治疗的患者中,LAAO的高.
结论:
- 过导管大动脉和中枢干预显示了类似的在医院的结果和再入院,无论之前的中枢膜辐射.
- 左心房附属体封闭 (LAAO) 与之前接受过中心膜辐射的患者的90天再入院增加有关.
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