罗斯复兴:美国罗斯程序的趋势和短期结果
Amulya Vadlakonda1, Sara Sakowitz1, Troy Coaston1
1Division of Cardiac Surgery, Department of Surgery, University of California, Los Angeles, California, USA; Cardiovascular Outcomes Research Laboratory, University of California, Los Angeles, California, USA.
JACC. Advances
|January 29, 2026
概括
与传统手术相比,罗斯手术是一种肺部自移植大动脉置换,使用率增加,短期结果有利. 这是它它它它.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 医疗技术评估 医疗技术评估
背景情况:
- 罗斯手术,利用肺部自体移植进行大动脉置换,已经受到有限的采用.
- 最近的进展重新点燃了对罗斯手术的兴趣,作为标准手术大动脉置换 (SAVR) 的替代方案.
研究的目的:
- 分析过去十年来罗斯手术的国家使用趋势.
- 将罗斯程序的可行性,安全性和成本效益与SAVR进行比较.
主要方法:
- 全国范围的再接收数据库分析了从2010年到2022年接受选择性大动脉置换的成人和儿科患者.
- 使用粗制精确匹配进行年龄匹配的队列比较,然后进行多变量回归来评估结果.
- 主要终点:住院死亡率,中风,长时间通风,再手术,急性损伤,败血症,心脏骤停和静脉血栓栓塞的组合.
主要成果:
- 罗斯手术占成人1.5%和儿科大动脉置换37.2%,使用率随着时间的推移显著增加.
- 罗斯患者比较年轻,并发病率较低,并且在高人数中心接受治疗.
- 罗斯手术与复合并发症 (aOR:0.65) 和中风 (aOR:0.38) 的几率降低,以及较低的非家庭出院和30天再入院,与可比的住院费用相关.
结论:
- 罗斯手术在儿科和成人患者中正在经历复苏,并显示出有利的短期结果.
- 调查结果支持在经验丰富的中心更广泛地采用罗斯操作,寻找合适的候选人.
- 该研究强调了罗斯手术的可行性,作为SAVR的安全和经济有效的替代品.
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