ty -jour a2 -Musialek,piotr au -patsalis,polykarpos c au -adaweimer,大会au -scharkowski,henrik au -useini -useini,dritan au -haldenwang,peter lukas au-Andreas au -Katsounas,Antonios PY -2021 DA -2021/04/15 Ti-常规炎症参数对经导管主动脉瓣置换后的预后的发生率和影响 背景。先前的研究报告了经导管主动脉瓣置换(TAVR)后全身性炎症(SI)的不良临床结果。但是,表征SI影响的数据,如术后常规炎症参数(PRIP)所反映的,对接受TAVR患者的临床结果的数据很少。 目标。鉴于此,目前的工作旨在分析跨副(TA)和transfremoral(TF)-TAVR后PRIP的发病率和临床意义。 方法和结果。2017年至2018年在我们中心接受TAVR的81例高危患者的数据以回顾性分析。通过TF访问(A组)和41例TA访问(B组),在81例患者中有40例(49%)接受治疗。分析了与前外数据有关的PRIP的发生率,原因和幅度。根据阀门学术研究联盟(VARC-2)进行了结果评估。接受TA-TAVR(B组)与TF-TAVR的患者(A组; 12.1±9.7 vs. 22.1±7.9 mg/dl,DL,DL,B)与22.1±9.7vs。 p  < 0.001 and 12.8 ± 4.0 vs. 14.2 ± 3.8/nl, p  = 0.002); however, there was no significant difference regarding incidence of postprocedural fever (pF) ≥38.0°C (12.5% vs. 22%, p  = 0.37). Furthermore, we observed a vast (though insignificant) trend towards a longer fever duration in group B vs. group A (9.9 ± 14.9 vs. 3.2 ± 5.9 hours, p  = 0.06). Further analysis identified pCRP >30 mg/dl (hazard ratio (HR) 3.15, confidence interval (CI) 1.22–8.14, p  = 0.018) and European System for Cardiac Operative Risk Evaluation (logistic EuroSCORE I (ES)) >20% (HR 2.95, CI 1.17–7.47, p  = 0.02) as predictors of mortality; in this context, we also discovered a marginally significant trend for pL > 14/nl (HR 2.44, CI 0.97–6.14, p  = 0.05). Multivariate analysis by use of the fisher`s exact test revealed a significant association between pCRP >30 mg/dl and ES >20% ( p  < 0.001). 结论。接受TA-TAVR的患者的PRIP显着增加。PCRP> 30 mg/dL,ES> 20%和PL> 14/NL是不良预后的标志,需要进一步研究。SN -0896-4327 UR -https://doi.org/10.1155/2021/6628405 do -10.1155/2021/6628405 JF-介入的心脏病学杂志 -