经导管主动脉瓣植入后心肌损伤比较机械膨胀式与自膨胀式与球囊膨胀式瓣膜

数据集获取（Figshare）

• 源站标题：Myocardial Injury Post Transcatheter Aortic Valve Implantation Comparing Mechanically Expanded Versus Self-Expandable Versus Balloon-Expandable Valves
• DOI：10.6084/m9.figshare.8798504.v2
• 发布日期：2019-07-31
• 文件数：6 个
• 文件总体积：68.54 MB
• 源站页面：https://tandf.figshare.com/articles/dataset/Myocardial_Injury_Post_Transcatheter_Aortic_Valve_Implantation_Comparing_Mechanically_Expanded_Versus_Self-Expandable_Versus_Balloon_Expandable_Valves/8798504

命令行下载

curl -L -o "Suppl 1A.tif" "https://ndownloader.figshare.com/files/16126469"
curl -L -o "Suppl 1B.tif" "https://ndownloader.figshare.com/files/16126472"
curl -L -o "Suppl 2A.tif" "https://ndownloader.figshare.com/files/16126475"
curl -L -o "Suppl 2B.tif" "https://ndownloader.figshare.com/files/16126478"
curl -L -o "Suppl 2C.tif" "https://ndownloader.figshare.com/files/16126481"
curl -L -o "Supplemental Table1.docx" "https://ndownloader.figshare.com/files/16126484"

文件清单

• Suppl 1A.tif（13.71 MB）
• Suppl 1B.tif（13.71 MB）
• Suppl 2A.tif（13.71 MB）
• Suppl 2B.tif（13.71 MB）
• Suppl 2C.tif（13.71 MB）
• Supplemental Table1.docx（15.88 KB）

文件总体积 68.54 MB（源站 API 实测）。

数据说明

Background: Myocardial injury (MI) is common with transcatheter aortic valve implantation (TAVI) and may predict poor outcome. We aim: 1) to evaluate the difference in change of high-sensitivity-Troponin-T (hsTnT) within 24h after transfemoral-TAVI between mechanically-expanded (MEV), self-expanding (SEV) and balloon-expandable-valves (BEV); 2) to determine predictors for MI post-TAVI; and 3) to assess whether MI is associated with 30-day mortality.
Methods: This multicenter retrospective observational study included 1208 consecutively treated transfemoral-TAVI patients from three European centers. All patients treated with a MEV, SEV or BEV with available hsTnT measurements at baseline and within 24 h post-TAVI were included. Significant MI was defined as an elevation of hsTnT ≥ 15x the upper-reference-limit.
Results: Overall, the median hsTnT rise was 741 ng/L and was lower with MEV (MEV 335 vs. SEV 901 vs. BEV 649 ng/L, p p = 0.007). Occurrence of MI was similar after implantation of first vs. second- generation SEV (79 vs. 80%, p = 0.72) and BEV (77 vs. 76%, p = 0.90). There was no association between frequency of annulus manipulation and MI. On multivariable analysis (OR (95% CI) non-MEV (1.63 (1.06–2.49)), mean aortic gradient (1.02 (1.01–1.03)), left ventricular ejection fraction (1.03 (1.01–1.04)), and previous myocardial infarction (1.62 (1.04–2.56)) were positively associated with MI. There was no association between MI and 30-day mortality.
Conclusion: Transcatheter valve design determines peri-procedural MI and is less frequent with MEV. MI is not associated with 30-day mortality.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.8798504.v2（source: https://tandf.figshare.com/articles/dataset/Myocardial_Injury_Post_Transcatheter_Aortic_Valve_Implantation_Comparing_Mechanically_Expanded_Versus_Self-Expandable_Versus_Balloon_Expandable_Valves/8798504）。