与年轻患者相比,非常老年人左心房关闭的现实结果与年轻患者相比
Adam Mohmand-Borkowski1, Nora Glass1, Tendoh Timoh1
1Department of Cardiology, Cape Cod Hospital, Hyannis, Massachusetts.
Heart rhythm O2
|January 16, 2026
概括
左心房尾阻塞 (LAAO) 对于心房动 (AF) 的非常老年患者来说是安全有效的. 这种手术的结果与年轻患者相似,尽管在老年人群中存在较高死亡率的趋势.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 电子生理学 电子生理学
背景情况:
- 左心房尾阻塞 (LAAO) 为老年人心房 (AF) 提供了抗凝药的替代方案.
- 关于LAAO在非常老年人群中的结果的数据有限.
研究的目的:
- 为了评估LAAO在非常老年患者 (≥85岁) 的现实结果.
- 为了比较LAAO在非常老和年轻 (<85岁) 患者群体之间的安全性和有效性.
主要方法:
- 在一个中心对342个LAAO植入物的回顾性分析.
- 在不同年龄组 (≥85与<85岁) 之间比较手术成功,并发症,再入院,中风和死亡率.
主要成果:
- 程序成功率高 (98.5%),主要并发症非常低 (0.3%).
- 年龄组之间的住院结果或并发症率没有显著差异.
- 两组之间有相似的1年缺血性中风率 (2.6%);非常老年人的1年全因死亡率趋势较高 (14.6%与7.9%,P=.09).
结论:
- 对于患有AF的非常老年患者来说,LAAO是一种安全有效的选择.
- 该程序在年轻人群中显示出与年轻人群相似的结果,并发症率低.
- 非常老年人1年死亡率增加的趋势需要进一步调查.
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