JACC:经股动脉经导管主动脉瓣置换术采用单侧入路是安全的

2019-11-25 xiangting MedSci原创

2014年至2017年期间,血管并发症明显下降。单侧入路的TF-TAVR与双侧入路的安全性相似,并且更容易对入路相关并发症进行管理,患者满意度更高。

这项研究目的是比较经导管主动脉瓣置换术TAVR)期间在单侧与双侧的对侧股动脉放置动脉鞘的血管并发症发生率和趋势。

5-8%的TAVR手术会出现血管并发症。许多术者会在对侧股动脉放置一条动脉鞘,以进行主动脉根血管造影。作者推测,将动脉鞘管放置在输送鞘管的同侧和远端会更简单,并且安全性类似。

检索克利夫兰诊所主动脉瓣中心TAVR数据库,回顾性分析20141月至201712月接受经股动脉TAVRTF-TAVR)的患者数据。主要结局是周围血管并发症的发病率。

这项研究共纳入1,208TF-TAVR患者。1007例患者(83.36%)接受了双侧股动脉入路的TF-TAVR201例患者(16.64%)为单侧股动脉入路。研究期间,单侧入路的使用呈明显上升趋势,在2017年占总病例数的43.7%。入路部位相关的血管并发症逐渐减少,从2014年的13.7%下降至2017年的7.4%。倾向评分匹配后,双侧入路与单侧入路的外周血管并发症相似(10.8vs.8.6%)(p=0.543)。

2014年至2017年期间,血管并发症明显下降。单侧入路的TF-TAVR与双侧入路的安全性相似,并且更容易对入路相关并发症进行管理,患者满意度更高。

原始出处:

Shameer Khubber. Unilateral Access Is Safe and Facilitates Peripheral Bailout During Transfemoral-Approach Transcatheter Aortic Valve Replacement. JACCCardiovascular Interventions. 11 November 2019.

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    2020-05-13 hbwxf
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encryptionId=39cae96626f, topicName=置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3a7c35056336, createdName=yxch48, createdTime=Wed Jun 10 13:16:00 CST 2020, time=2020-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1326410, encodeId=3b3e132641017, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Wed Nov 27 02:16:00 CST 2019, time=2019-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332680, encodeId=2988133268027, 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=0, 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 Nov 27 02:16:00 CST 2019, time=2019-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1367188, encodeId=a4c5136e1880b, content=<a href='/topic/show?id=b6222320322' target=_blank style='color:#2F92EE;'>#主动脉瓣置换术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23203, encryptionId=b6222320322, topicName=主动脉瓣置换术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0b24249, createdName=medsci246, createdTime=Wed Nov 27 02:16:00 CST 2019, time=2019-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415576, encodeId=318c14155e62f, 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=Wed Nov 27 02:16:00 CST 2019, time=2019-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510250, encodeId=af5e1510250ca, 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=23, 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 Nov 27 02:16:00 CST 2019, time=2019-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1536581, encodeId=6af3153658150, content=<a href='/topic/show?id=a894e826546' target=_blank style='color:#2F92EE;'>#经导管主动脉瓣置换#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78265, encryptionId=a894e826546, topicName=经导管主动脉瓣置换)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b38112697961, createdName=yytms, createdTime=Wed Nov 27 02:16:00 CST 2019, time=2019-11-27, status=1, ipAttribution=)]
    2020-06-10 yxch48
  5. 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  6. 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  7. 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    2019-11-27 lsj631
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