拉链与三叶草修复在跨导管边缘到边缘三管修复中:来自TRI-SPA注册表的见解
Julio Echarte-Morales1,2, Manuel Barreiro-Pérez1,2, Xavier Freixa3
1Department of Cardiology. University Hospital Alvaro Cunqueiro, Vigo, Spain (J.E.-M., M.B.-P., B.C.-Q., R.E.-L.).
Circulation. Cardiovascular interventions
|January 20, 2026
概括
对于三腹反 (TR) 的跨导管边缘到边缘修复显示了拉链和三叶草技术之间的类似临床结果. 三叶草技术具有较高的残留TR率,特别是在复杂的情况下.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 过导管边缘到边缘修复 (TEER) 是三管吐 (TR) 的关键治疗方法,用于那些不适合进行手术的患者.
- 存在两个主要的TEER技术:拉链 (双) 和三叶草 (三孔).
研究的目的:
- 为了比较拉链与三叶草TEER技术对TR的回声心脏学和临床结果.
- 评估这两种不同的方法的有效性和安全性.
主要方法:
- 在2020年6月至2024年12月期间,288名接受TR的TEER患者的多中心注册表.
- 患者被分为拉链 (n=197) 和三叶草 (n=91) 修复组.
- 主要终点:随访时TR降低. 二级终点:综合所有原因死亡率和心力衰竭住院治疗.
主要成果:
- 三叶草技术与较高的残留TR (≤2+) 率 (76%对89%,P=0.006) 和单片式装置附着率有关.
- 在三叶草组中,这些发现与复杂的三巴解剖学的更高患病率有关.
- 在组合终点,NYHA功能类或1年TR再干预率之间没有观察到显著差异.
结论:
- 三叶草技术导致了更多的残留TR,特别是在复杂的三巴解剖学的患者中.
- 拉链和三叶草TEER技术都显示出可比的临床结果,是TR管理的可行选择.
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