Circulation:两种主要的经导管主动脉瓣置换术的长期预后对比!

2020-02-01 QQY MedSci原创

当下,有两种相互竞争的经导管主动脉瓣置换术(TAVR)技术可用。已有相关研究对这两种技术的相对性能进行了面对面的比较。但长期临床预后评估仍受到患者数量的限制,特别是最新一代的技术。本研究收纳了2014年-2018年在法国采用TAVR设备治疗的患者的信息,以分析TAVR的长期预后。共有31113位患者采用Sapien 3 BE或Evolut R自膨胀型TAVR治疗的患者。经基本特征匹配后,20918

当下,有两种相互竞争的经导管主动脉瓣置换术(TAVR)技术可用。已有相关研究对这两种技术的相对性能进行了面对面的比较。但长期临床预后评估仍受到患者数量的限制,特别是最新一代的技术。

本研究收纳了2014年-2018年在法国采用TAVR设备治疗的患者的信息,以分析TAVR的长期预后。

共有31113位患者采用Sapien 3 BE或Evolut R自膨胀型TAVR治疗的患者。经基本特征匹配后,20918位患者被纳入分析(每组10459位患者)。在随访过程中(平均358天),BE TAVR与全因死亡、心血管死亡和心衰再入院的年发生率较低相关。BE TAVR还与术后较低的起搏器植入率有关。

在现有最大队列的基础上,本研究观察到Sapien 3 BE瓣膜置换术与较低的全因死亡率、心血管疾病死亡率、心衰再住院率以及TAVR术后起搏器植入率相关。

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    2020-03-08 yxch48
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    2020-02-03 lsj631
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