Beating Heart Versus Arrested Heart for Isolated Tricuspid Valve Surgery: A Kaplan-Meier-Derived Meta-Analysis.

IF 1.6 Q2 SURGERY
Massimo Baudo, Serge Sicouri, Yoshiyuki Yamashita, Dimitrios Magouliotis, Francesco Cabrucci, Basel Ramlawi
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引用次数: 0

Abstract

Objective: The aim of the current study was to analyze the clinical and surgical outcomes of patients undergoing isolated tricuspid valve surgery (ITVS) from the available literature. It currently remains uncertain whether arrested heart (AH) surgery has superior postoperative outcomes over beating heart (BH) for ITVS.

Methods: A systematic review and meta-analysis were conducted by searching PubMed, ScienceDirect, Scopus, DOAJ, SciELO, and Cochrane databases from 2000 until November 2024. The protocol was registered with the International Prospective Register of Systematic Reviews under the PROSPERO registration number CRD42024622618.

Results: A total of 22 studies met the inclusion criteria. These studies were published between 2012 and 2023 and included a combined total of 1,627 patients, with 1,053 in the BH group and 574 in the AH group. The present analysis showed that patients undergoing BH surgery were generally more comorbid and more frequently underwent minimally invasive procedures as compared with patients undergoing AH surgery. The BH and AH groups reported no significant differences in postoperative outcomes. At follow-up, BH was associated with higher recurrent >2+ tricuspid regurgitation rates (P = 0.048), but this did not affect late survival (hazard ratio [HR] = 0.90, 95% confidence interval [CI]: 0.68 to 1.19, P = 0.457) or reintervention for TV (HR = 1.18, 95% CI: 0.61 to 2.29, P = 0.622) rates.

Conclusions: A consensus between BH and AH for ITVS is still lacking. However, BH ITVS procedures appear to be the preferred surgeon choice for higher-risk patients. At follow-up, the BH group showed higher rates of recurrent tricuspid regurgitation >2+, without affecting late survival or rates of TV reintervention.

孤立三尖瓣手术中心脏跳动与心脏骤停:kaplan - meier衍生meta分析。
目的:本研究的目的是从现有文献中分析孤立三尖瓣手术(ITVS)患者的临床和手术结果。目前尚不确定是否停搏心脏(AH)手术比搏动心脏(BH)手术有更好的术后效果。方法:检索2000年至2024年11月PubMed、ScienceDirect、Scopus、DOAJ、SciELO和Cochrane数据库,进行系统评价和meta分析。该方案已在国际前瞻性系统评价注册中心注册,注册号为PROSPERO CRD42024622618。结果:共有22项研究符合纳入标准。这些研究发表于2012年至2023年,共纳入1627例患者,其中BH组1053例,AH组574例。目前的分析表明,与接受AH手术的患者相比,接受BH手术的患者通常有更多的合并症,并且更频繁地接受微创手术。BH组和AH组术后结果无显著差异。在随访中,BH与较高的复发性bbb2 +三尖瓣反流率相关(P = 0.048),但这并不影响晚期生存率(风险比[HR] = 0.90, 95%可信区间[CI]: 0.68至1.19,P = 0.457)或TV再干预率(HR = 1.18, 95% CI: 0.61至2.29,P = 0.622)。结论:对于ITVS的BH和AH仍缺乏共识。然而,BH ITVS手术似乎是高风险患者的首选外科医生选择。在随访中,BH组显示出更高的三尖瓣返流率,但不影响晚期生存率或TV再干预率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
6.70%
发文量
80
期刊介绍: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery is the first journal whose main mission is to disseminate information specifically about advances in technology and techniques that lead to less invasive treatment of cardiothoracic and vascular disease. It delivers cutting edge original research, reviews, essays, case reports, and editorials from the pioneers and experts in the field of minimally invasive cardiothoracic and vascular disease, including biomedical engineers. Also included are papers presented at the annual ISMICS meeting. Official Journal of the International Society for Minimally Invasive Cardiothoracic Surgery
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