NEJM:经导管或外科主动脉瓣置换5年结果差异研究

2020-02-03 MedSci MedSci原创

研究认为,经导管主动脉瓣置换对严重主动脉瓣狭窄伴中度手术风险患者的临床改善效果与主动脉瓣置换术相当

近日研究人员考察了严重主动脉瓣狭窄伴中度手术风险患者接受经导管主动脉瓣置换(TAVR)后长期临床结果与生物瓣功能情况,并与主动脉瓣置换术进行比较。

2032名中度风险的严重主动脉瓣狭窄患者参与研究,分别接受TAVR或主动脉瓣置换术,经股骨或经胸通路治疗的比例为76.3%和23.7%,随访5年,研究的主要终点为全因死亡和致残性中风。

5年时,组间全因死亡和致残性中风风险无显著差异(47.9% vs 43.4%,HR=1.09)。经股骨组的结果相近(44.5% vs 42.0%,HR=1.02),但经胸通路TAVR患者的死亡率及致残性中风风险高于主动脉瓣置换术组(59.3% vs 48.3%,HR=1.32)。5年时,TAVR组轻度瓣旁主动脉反流率较高(33.3% vs 6.3%)。与手术组相比,TAVR后的重复住院率(33.3% vs 25.2%)和主动脉瓣再干预(3.2% vs 0.8%)风险增加。

研究认为,经导管主动脉瓣置换对严重主动脉瓣狭窄伴中度手术风险患者的临床改善效果与主动脉瓣置换术相当。

原始出处:

Raj R. Makkar et al. Five-Year Outcomes of Transcatheter or Surgical Aortic-Valve Replacement. N Engl J Med, January 29, 2020.

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    2020-06-12 yxch48
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    2020-02-14 天地飞扬

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    2020-02-13 天地飞扬

    学习

    0

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    2020-02-07 天地飞扬

    学习

    0

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  6. [GetPortalCommentsPageByObjectIdResponse(id=1742672, encodeId=63981e42672e5, content=<a href='/topic/show?id=39cae96626f' target=_blank style='color:#2F92EE;'>#置换#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=79662, encryptionId=39cae96626f, topicName=置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3a7c35056336, createdName=yxch48, createdTime=Fri Jun 12 03:23:00 CST 2020, time=2020-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=379246, encodeId=9ac73e9246ca, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Fri Feb 14 21:33:36 CST 2020, time=2020-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=379204, encodeId=2aa03e9204eb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Thu Feb 13 20:34:19 CST 2020, time=2020-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=379006, encodeId=2aa43e90061b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Fri Feb 07 23:21:45 CST 2020, time=2020-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332707, encodeId=b7121332e0732, 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=22, 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=Wed Feb 05 01:23:00 CST 2020, time=2020-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415610, encodeId=f42b14156109d, 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=21, 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=Wed Feb 05 01:23:00 CST 2020, time=2020-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510277, encodeId=ca4515102e7cf, content=<a href='/topic/show?id=e9bce8254ef' target=_blank style='color:#2F92EE;'>#经导管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78254, encryptionId=e9bce8254ef, topicName=经导管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=93e010191378, createdName=lsj631, createdTime=Wed Feb 05 01:23:00 CST 2020, time=2020-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378863, encodeId=05723e886390, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Feb 03 21:32:38 CST 2020, time=2020-02-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035113, encodeId=88ad1035113fc, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Mon Feb 03 13:23:00 CST 2020, time=2020-02-03, status=1, ipAttribution=)]
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    2020-02-05 lsj631
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    2020-02-03 天地飞扬

    学习

    0

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    2020-02-03 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

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