Eur Heart J:2016年血管入路经导管主动脉瓣植入术后的结局

2017-12-26 xiangting MedSci原创

2016年TV-TAVI后的总院内死亡率在数量上首次低于iSAVR。

这项研究分析了所有接受血管入路经导管主动脉瓣植入术(TV-TAVI)患者的手术次数、并发症和院内死亡率,并将其与2014年至2016年德国单纯手术主动脉瓣置换术(iSAVR)进行了比较。

所有在德国进行的主动脉瓣手术都是在质量控制项目中强制登记的。在2016年进行了超过15 000例TV-TAVI手术。近年来,包括新型心脏起搏器植入(2015:12.6%vs. 2016:11.4%,P = 0.002)和血管并发症(2015:8.5%vs. 2016:7.1%; P <0.001)在内的术后并发症数量有所下降。因此,2016年TV-TAVI后的院内总死亡率为2.6%,这在数量上首次低于iSAVR的2.9%(P = 0.19)。根据德国主动脉瓣评分的分层分析显示TV-TAVI低于预期的院内死亡率(O / E 0.68)。此外,极高危组(11.3% vs.23.6%; P <0.001),高危组(4.1% vs.9.2%; P <0.001)和中危组(3.0%vs. 4.6%; P = 0.016)TV-TAVI后的院内死亡率显著低于iSAVR后,低危组与iSAVR相近(1.6% vs.1.4%; P = 0.4)。

2016年TV-TAVI后的总院内死亡率在数量上首次低于iSAVR。低危组院内死亡率相近,而其他风险组TV-TAVI后的院内死亡率显著低于SAVR。这可能会导致未来治疗标准的重新定义。

原始出处:

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    2018-01-15 周周人

    学习.

    0

  4. 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encodeId=ce3f1332488cd, content=<a href='/topic/show?id=1dd6231822d' target=_blank style='color:#2F92EE;'>#主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23182, encryptionId=1dd6231822d, topicName=主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc4b2500077, createdName=hittouch, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356607, encodeId=0639135660e9a, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415255, encodeId=74da141525508, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=)]
    2018-01-03 周周人

    学习.

    0

  5. 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2017, time=2017-12-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415255, encodeId=74da141525508, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=)]
    2017-12-29 1e0e5a1fm42(暂无匿称)

    henhao

    0

  6. 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2017, time=2017-12-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415255, encodeId=74da141525508, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=)]
    2017-12-29 137****9095

    henhao

    0

  7. 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2017, time=2017-12-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415255, encodeId=74da141525508, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=)]
    2017-12-28 1e0e5697m83(暂无匿称)

    henhao

    0

  8. 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  9. 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2017, time=2017-12-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415255, encodeId=74da141525508, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Thu Dec 28 02:11:00 CST 2017, time=2017-12-28, status=1, ipAttribution=)]
    2017-12-28 zhaojie88
  10. 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