Martin W Bergmann, Janina Maren Krause, Niklas Schofer, Felix Meincke, Christina Paitazoglou, Christian-Hendrik Heeger, Stephan Willems, Samer Hakmi, Eike Tigges
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引用次数: 0
摘要
目的：经导管主动脉瓣置换术（TAVR）后，房室（AV）传导障碍仍很常见。本研究评估了在德国所有患者中采用优化的尖部覆盖技术（COT）的自膨胀（SE）-TAVR 1 年后的可行性和临床效果：我们分析了采用优化 COT 的 SE 瓣膜患者 1 年后的临床疗效。我们纳入了 2020 年将 COT 作为默认植入技术后接受 SE-TAVR （EvolutR、EvolutPRO）的连续患者（n = 101）。同一操作者使用传统植入技术（CIT）的连续TAVR患者作为对照组（n = 116）：结果：超过80%的COT组患者成功实施了COT。(81.2%, n = 82/101).出院时，两组患者在至少II度房室传导阻滞（CIT 19.47% vs COT 21%；P = .86）和永久起搏器（PPM）植入（CIT 17.5% vs COT 19%；P = .73）方面无差异。新的左束支传导阻滞 (LBBB) 在 COT 组明显较少（CIT 40.71% vs COT 26%；P = .029）。大于 I°的腔瓣旁渗漏 (PVL) 在 COT 组中有所减少（CIT 8.62% vs COT 0.99%；P = .012）。两组间的死亡率（CIT 18.27% vs COT 13.83%；P = .44）、中风（CIT 9.62% vs COT 15.96%；P = .16）或一年后心血管再住院率（CIT 25.96% vs COT 24.47%；P = .92）无明显差异：结论：COT-TAVR的实施是可行且安全的，它改善了PVL大于I°和新发LBBB的TAVR结果。结论：COT-TAVR的实施是可行的、安全的，它改善了PVL大于I°和新发LBBB的TAVR结果，但在PPM方面，TAVR术后1年未观察到差异。
ALSTER-TAVR 2024: clinical results at one year following optimized self-expanding, transcatheter aortic valve peplacement employing the cusp-overlay technique.
期刊介绍：
The Journal of Invasive Cardiology will consider for publication suitable articles on topics pertaining to the invasive treatment of patients with cardiovascular disease.
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