左心室辅助装置优化的技术与技巧：一种“双技”解决方案
Technology and technique for left ventricular assist device optimization: A Bi-Tech solution
作者：Vincenzo Tarzia, et al. 年份：2022 期刊：Artificial Organs DOI：10.1111/aor.14368
证据等级：3b (回顾性队列研究) IF：待补充
中文核心摘要（150 字以内）：
本研究回顾性分析了Jarvik 2000意大利注册登记中的150例患者，旨在探讨Jarvik 2000新型圆锥轴承设计与微创手术相结合的协同效应。患者被分为三组：针状轴承+传统手术（第1组）、圆锥轴承+传统手术（第2组）、圆锥轴承+微创手术（第3组）。结果显示，第3组的1年生存率最高（74%），且心血管事件风险显著降低。结合现代圆锥轴承配置和微创手术可改善生存率并最大程度减少不良事件。
关键词：圆锥轴承, Jarvik 2000, 微创手术, 生存率
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📖 英文原文摘要
Background: We investigated the synergistic effect of the new cone-bearing design of Jarvik 2000 together with a minimally-invasive approach to outcomes of LVAD patients.
Methods: Retrospective review of 150 patients from Jarvik 2000 Italian Registry (2008-2016). Groups: 1) pin-bearing/conventional; 2) cone-bearing/conventional; 3) cone-bearing/minimally-invasive.
Results: 1-year survival was 58%, 64%, and 74% in Groups 1, 2, and 3, respectively (p = 0.034). Adverse events were lowest in Group 3.
Conclusions: The association of the modern cone-bearing configuration of Jarvik 2000 and minimally invasive surgery improved survival and minimized the risk for cardiovascular events.