JACC:经导管三尖瓣置换术后中期临床预后研究

2019-01-17 MedSci MedSci原创

目前,关于经导管三尖瓣置换术(TTVR)后中期的瓣膜相关的预后结局(瓣膜功能、血栓形成和心内膜炎)尚不清楚。本研究的目的旨在评估外科三尖瓣修复术后行TTVR术后的中期临床预后。本研究纳入分析了来自80个医学中心的306名接受TTVR的患者,其中52名(17%)患者有心内膜炎病史,经过平均15.9个月时间的随访,估计的3年累积死亡率、再介入率和瓣膜相关不良事件(心内膜炎、血栓或功能不全)发生率分别是

目前,关于经导管三尖瓣置换术(TTVR)后中期的瓣膜相关的预后结局(瓣膜功能、血栓形成和心内膜炎)尚不清楚。本研究的目的旨在评估外科三尖瓣修复术后行TTVR术后的中期临床预后。

本研究纳入分析了来自80个医学中心的306名接受TTVR的患者,其中52名(17%)患者有心内膜炎病史,经过平均15.9个月时间的随访,估计的3年累积死亡率、再介入率和瓣膜相关不良事件(心内膜炎、血栓或功能不全)发生率分别是17%、12%和8%,有8名患者诊断为心内膜炎,年发生了为1.5%(95% Cl: 0.45%-2.5%),8名患者发生瓣膜相关血栓形成。另外,心内膜炎病史不是再介入、心内膜炎和血栓形成的危险因素,不同TTVR类型的瓣膜相关不良事件发生率无明显差异。

研究结果显示,心内膜炎、三尖瓣功能不全和血栓形成在经导管三尖瓣置换术后并不常见,心内膜炎病史不是术后不良事件发生的危险因素。

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    2019-12-19 yxch48
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    2019-01-19 hbwxf
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    2019-01-19 lsj631
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