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首页> 外文期刊>Journal of cardiac surgery. >Evolving trends in aortic valve replacement: A statewide experience
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Evolving trends in aortic valve replacement: A statewide experience

机译：主动脉瓣更换的演变趋势：全态体验

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摘要

Abstract Background Transcatheter aortic valve replacement (TAVR) is an alternative to surgical aortic valve replacement (SAVR) for the treatment of aortic stenosis in patients at intermediate, high, and extreme risk for mortality from SAVR. We examined recent trends in aortic valve replacement (AVR) in Michigan. Methods The Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative (MSTCVS‐QC) database was used to determine the number of SAVR and TAVR cases performed from January 2012 through June 2017. Patients were divided into low, intermediate, high, and extreme risk groups based on STS predicted risk of mortality (PROM). TAVR patients in the MSTCVS‐QC database were also matched with those in the Transcatheter Valve Therapy Registry to determine their Heart Team‐designated risk category. Results During the study period 9517 SAVR and 4470 TAVR cases were performed. Total annual AVR volume increased by 40.0% (from 2086 to 2920), with a 13.3% decrease in number of SAVR cases (from 1892 to 1640) and a 560% increase in number of TAVR cases (from 194 to 1280). Greater than 90% of SAVR patients had PROM ≤8%. While 70% of TAVR patients had PROM?≤?8%, they were mostly designated as high or extreme risk by a Heart Team. Conclusions During the study period, SAVR volume gradually declined and TAVR volume dramatically increased. This was mostly due to a new group of patients with lower STS PROM who were designated as higher risk by a Heart Team due to characteristics not completely captured by the STS PROM score.
机译：摘要背景技术经管管主动脉瓣更换（TAVR）是手术主动脉瓣置换（SAVR）的替代方案，用于治疗中间，高，极度风险的患者主动脉狭窄。我们在密歇根州的主动脉瓣更换（AVR）中检查了最近的趋势。方法采用密歇根州和心血管外科医生的密歇根州和心血管外科医生（MSTCVS-QC）数据库，用于确定2012年1月至2017年6月在2012年6月至2017年6月所述的Savr和Tavr案件的数量。患者分为低，中级，高和极端风险群体基于STS预测死亡率的风险（PROM）。 MSTCVS-QC数据库中的TAVR患者也与经截面阀治疗登记处的患者匹配，以确定其心脏团队指定的风险类别。结果在研究期间，进行了9517年SAVR和4470 TAVR病例。年度AVR体积增加40.0％（从2086到2920），萨维病例数量减少13.3％（从1892年到1640年），TAVR案件数量增加560％（从194年到1280）。大于90％的Savr患者的促销患者≤8％。虽然＆ 70％的TAVR患者有舞会？≤≤8％，他们主要被心脏团队指定为高或极端风险。结论在研究期间，SAVR体积逐渐下降，TAVR体积显着增加。这主要是由于一群新的STS PROM患者，由于STS舞会得分没有完全捕获的特征，由心脏团队指定为较高的风险。

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  • 来源
    《Journal of cardiac surgery.》 |2018年第8期|共7页
  • 作者

    Kim Karen M.; Shannon Francis; Paone Gaetano; Lall Shelly; Batra Sanjay; Boeve Theodore; DeLucia Alphonse; Patel Himanshu J.; Theurer Patricia F.; He Chang; Clark Melissa J.; Sultan Ibrahim; Deeb George Michael; Prager Richard L.;

  • 作者单位

    Department of Cardiac SurgeryUniversity of MichiganAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Michigan Society of Thoracic and Cardiovascular Surgeons Quality CollaborativeAnn Arbor Michigan;

    Division of Cardiac SurgeryUniversity of Pittsburgh Medical CenterPittsburgh Pennsylvania;

    Department of Cardiac SurgeryUniversity of MichiganAnn Arbor Michigan;

    Department of Cardiac SurgeryUniversity of MichiganAnn Arbor Michigan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心脏血管和淋巴系外科学;
  • 关键词

    aortic valve replacement; database; TAVI; TAVR;

    机译：主动脉瓣更换;数据库;tavi;tavr;

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