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Alessandro Comis^1,2, Giuliano Costa¹, Elena Dipietro¹

¹Division of Cardiology, A.O.U. Policlinico 'G. Rodolico-San Marco', Catania.

Journal of cardiovascular medicine (Hagerstown, Md.)

|February 17, 2026

概括

过导管大动脉置换术 (TAVR) 后的第二天出院 (NDD) 对非老年人来说是安全的. 这种方法改善了早期的安全性,并避免了老年人群的住院并发症.

科学领域:

心脏病学心脏病学
老年医学老年医学
干预心脏病学干预心脏病学

背景情况:

全球人口老龄化,导致非老年人的数量增加.
在这个人口群体中,需要跨导管大动脉置换 (TAVR) 的严重大动脉狭窄病例正在增加.
之前对TAVR后第二天出院 (NDD) 的研究排除了非常老年人群.

研究的目的:

评估跨导管大动脉置换术 (TAVR) 后第二天出院 (NDD) 的安全性和有效性,特别是在非老年患者中.
在这个独特的患者群体中,比较NDD与后来出院的结果.

主要方法:

对104名在2011年11月至2024年5月期间接受体输血TAVR的非年龄组患者进行了回顾性分析.
32名患者 (31.7%) 在手术后的第二天出院 (NDD组).
倾向性得分匹配被用于创建29个平衡的对,以与后来出院的患者进行比较,分析门学术研究联盟-3 (VARC-3) 标准,以确定设备的成功和早期安全性.

主要成果:

与较晚出院组相比,匹配的NDD患者的早期安全性 (93.1%与69.0%相比;P=0.04) 显著提高.
设备的成功率在各组之间是相似的 (89.7%对100%;P=0.48).
一年后,NDD和没有NDD的患者之间没有观察到任何原因死亡率 (3.4%与17.2%相比;P=0.20) 或再住院率 (13.8%与13.8%相比;P=1.00) 的显著差异.

结论:

下一天出院 (NDD) 是对经过过导管大动脉置换 (TAVR) 的非老年患者的安全有效策略.
在这个老年人群中,实施NDD可能会降低与长时间住院相关的并发症的风险.
这种方法支持早期恢复,并可能为最老的TAVR接受者提供更好的结果.

关键词:

第二天的放电.不成年人的非成年人.通过导管更换大动脉门.

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