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动脉支架程序趋势和差异在一个国家队列

Jason Gusdorf¹, William B Earle², Siling Li³

¹Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

The American journal of cardiology

|December 31, 2025

概括

在患有动脉样硬化性动脉狭窄症 (RAS) 的老年人中,动脉狭窄率显著下降. 结果因种族和社会经济地位而异,表明需要对这些患者进行更好的风险评估.

科学领域:

心血管医学心血管医学
腎臟病學 (nephrology) 是一種醫學專業.
医疗保健服务研究医疗服务研究

背景情况:

动脉硬化性动脉狭窄 (RAS) 在老年人中很常见,增加心血管和脏疾病的风险.
以前的随机试验显示,动脉支架的益处有限,导致手术使用减少.
当代RAS支架的实践模式和结果仍然不完全描述.

研究的目的:

在医疗保险受益者 (2016-2020) 中分析动脉支架用于动脉样硬化RAS的趋势.
评估按种族,地理区域和社会经济地位分层的程序后结果 (双重招生).
为了确定差异,并为RAS干预的未来风险分层策略提供信息.

主要方法:

使用医疗保险索赔数据 (2016-2020年) 的回顾性队列研究.
包括19,130名65岁以上的医疗保险受益者,他们正在为动脉样硬化RAS接受动脉支架.
分析了基线特征,手术率和临床结果 (住院治疗,透析,死亡率).

主要成果:

在研究期间,脏动脉支架率下降了41.1%.
与白人患者相比,黑人患者的高血压危机住院和透析启动风险调整较高.
双重医疗保险和医疗补助入学与所有原因死亡率的增加有关.

结论:

动脉支架的使用率继续下降,对老年,高并发症患者进行的手术.
在对RAS进行动脉支架后的结果中存在显著的种族和社会经济差异.
需要改善风险分层和前性研究,以指导高风险人群的最佳支架决策.

关键词:

不平等的差异在在高血压的高血压.脏动脉狭窄症脏动脉狭窄症心血管干预措施的心血管干预结果就是结果.进行脏支架 (renal stenting).

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