边缘到边缘三尖瓣修复和心力衰竭住院:TRI-SPA登记。

IF 7.2 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Julio Echarte-Morales, Laura Sanchis, Dabit Arzamendi, Vanessa Moñivas, Fernando Carrasco-Chinchilla, Manuel Pan, Luis Nombela-Franco, Isaac Pascual, Tomás Benito-González, Ruth Pérez, Iván Gómez-Blázquez, Ignacio J Amat-Santos, Ignacio Cruz-González, Ángel Sánchez-Recalde, Ana Belén Cid Álvarez, Manuel Barreiro-Pérez, Pedro Cepas-Guillén, Chi Hion Li, María Del Trigo, José David Martínez-Carmona, Dolores Mesa, Patricia Mahía, Pablo Avanzas, André González-García, Xavier Freixa, Rodrigo Estévez-Loureiro
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引用次数: 0

摘要

前言和目的心衰住院史(HFH)对经导管三尖瓣边缘到边缘修复(T-TEER)患者的预后影响的研究很少。本研究展示了TRI-SPA登记的结果,其中包括来自15个西班牙中心的数据。方法采用多中心回顾性登记,包括2020年6月至2023年5月期间接受T-TEER治疗的患者。根据术前12个月内HFH的数量将患者分为3组:无HFH, 1 HFH和bb0 1 HFH(复发)。主要终点是全因死亡率和HFH。结果262例患者中,167例(63.7%)无HFH病史,60例(22.9%)有1次HFH病史,35例(13.4%)有1次HFH病史。>1住院患者合并症较多,手术风险较高,功能分级较差;然而,无论在基线还是T-TEER后,三尖瓣反流的严重程度都没有观察到显著差异。中位随访365天[160-643]天后,复发HFH患者的综合结局率更高(分别为9.9%、16.7%和43.1%);P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Edge-to-edge tricuspid valve repair and heart failure hospitalizations: the TRI-SPA registry.

Introduction and objectives The prognostic impact of a history of heart failure hospitalizations (HFH) in patients undergoing transcatheter tricuspid edge-to-edge repair (T-TEER) has been scarcely studied. This study presents the results of the TRI-SPA registry, which includes data from 15 Spanish centers. Methods A multicenter, retrospective registry was conducted, including patients who underwent T-TEER between June 2020 and May 2023. Patients were classified into the 3 groups, based on the number of HFH in the 12 months prior to the procedure: no HFH, 1 HFH, and > 1 HFH (recurrent). The primary endpoint was all-cause mortality and HFH. Results Of the 262 patients included, 167 (63.7%) had no history of HFH, 60 (22.9%) had 1 HFH, and 35 (13.4%) had > 1 HFH. Patients with > 1 hospitalization had more comorbidities, higher surgical risk, and worse functional class; however, no significant differences were observed in the severity of tricuspid regurgitation either at baseline or after T-TEER. After a median follow-up of 365 [160-643] days, patients with recurrent HFH had higher rates of the composite outcome (9.9%, 16.7%, and 43.1%, respectively; P < .001), as well as higher mortality rates (P = .036) and HFH (P < .001). The number of HFH significantly decreased in the 12 months following T-TEER compared with the 12 months prior (P = .001). Conclusions Recurrent HFH within the 12 months prior to the procedure was associated with a higher risk of adverse clinical events during follow-up. T-TEER significantly reduced the number of hospitalizations during the follow-up period. Full English text available from: www.revespcardiol.org/en.

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