{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T10:43:56Z","timestamp":1698403436312},"reference-count":24,"publisher":"Akademiai Kiado Zrt.","issue":"35","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,8,28]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A t\u00e1rsadalom el\u00f6reged\u00e9se \u00e9s a vizsg\u00e1l\u00f3m\u00f3dszerek\n                    javul\u00e1sa k\u00f6vetkezt\u00e9ben az aortabillenty\u0171-sz\u0171k\u00fclet az egyik leggyakrabban\n                    diagnosztiz\u00e1lt feln\u0151ttkori, szerzett sz\u00edvbetegs\u00e9g. K\u00fcl\u00f6nb\u00f6z\u0151 m\u0171t\u00e9ti technik\u00e1k\n                    alakultak ki, amelyek kivitelez\u00e9s\u00e9hez a standard median sternotomi\u00e1b\u00f3l v\u00e9gzett\n                    felt\u00e1r\u00e1s v\u00e1lt gyakorlatt\u00e1. A kardiol\u00f3gia intervenci\u00f3s technik\u00e1inak gyors\n                    fejl\u0151d\u00e9se arra \u00f6szt\u00f6nzi a sz\u00edvseb\u00e9szeti tev\u00e9kenys\u00e9get, hogy ugyanazt a m\u0171t\u00e9ti\n                    min\u0151s\u00e9get az invazivit\u00e1s cs\u00f6kkent\u00e9se mellett ny\u00fajtsa.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> C\u00e9lunk a vizsg\u00e1lt id\u0151szakban a teljes, median\n                    sternot\u00f3mi\u00e1b\u00f3l v\u00e9gzett aortabillenty\u0171-m\u0171t\u00e9t (AVR) \u00e9s a partialis sternotomi\u00e1b\u00f3l\n                    (mini-AVR) v\u00e9gzett, izol\u00e1lt aortabillenty\u0171-m\u0171t\u00e9tek \u00f6sszehasonl\u00edt\u00e1sa a pre-,\n                    intra- \u00e9s posztoperat\u00edv eredm\u00e9nyek tekintet\u00e9ben. <jats:italic>Betegek \u00e9s\n                        m\u00f3dszer:<\/jats:italic> Kutat\u00e1sunkban a Gottsegen Gy\u00f6rgy Orsz\u00e1gos\n                    Kardiovaszkul\u00e1ris Int\u00e9zetben v\u00e9gzett izol\u00e1lt aortabillenty\u0171-m\u0171t\u00e9teket vizsg\u00e1ltuk\n                    2019. janu\u00e1r \u00e9s 2020. m\u00e1rcius k\u00f6z\u00f6tt (99 AVR \u00e9s 151 mini-AVR). Mini-AVR sor\u00e1n a\n                    szegycsontot J-ministernotomi\u00e1val csak a III. vagy IV. bordak\u00f6zig nyitjuk meg,\n                    m\u00edg a klasszikus felt\u00e1r\u00e1s sor\u00e1n a szegycsontot teljes hossz\u00e1ban v\u00e1lasztjuk sz\u00e9t.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A v\u00e9rfelhaszn\u00e1l\u00e1s (egys\u00e9g) (AVR: 2,90 [2,90];\n                    mini-AVR: 1,85 [2,12]; p&lt;0,05), a k\u00f3rh\u00e1zban elt\u00f6lt\u00f6tt napok sz\u00e1ma (AVR: 9,75\n                    [2,99]; mini-AVR: 8,85 [2,85]; p&lt;0,05) \u00e9s a m\u0171t\u00e9ti id\u0151 hossza (perc) (AVR:\n                    148,49 [34,4]; mini-AVR: 134,6 [34,8]; p&lt;0,05) tekintet\u00e9ben kedvez\u0151bb volt a\n                    mini-AVR-csoport. A preoperat\u00edv v\u00e1ltoz\u00f3k tekintet\u00e9ben nem volt homog\u00e9n a k\u00e9t\n                    csoport, ez\u00e9rt korrig\u00e1ltuk az er\u0151s predikt\u00edv v\u00e1ltoz\u00f3kat. Ez\u00e1ltal a\n                    biostatisztikai \u00e9rtelemben vett szignifikanciaszintek elt\u0171ntek, azonban\n                    egy\u00e9rtelm\u0171 lett a trend a minim\u00e1linvaz\u00edv m\u0171t\u00e9tek jav\u00e1ra.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Vizsg\u00e1latunk sor\u00e1n a mini-AVR-m\u0171t\u00e9t\n                    k\u00f6lts\u00e9ghat\u00e9konyabb beavatkoz\u00e1snak bizonyult a kisebb m\u0171t\u00e9ti trauma, a cs\u00f6kkent\n                    v\u00e9rfelhaszn\u00e1l\u00e1s \u00e9s a r\u00f6videbb m\u0171t\u00e9ti id\u0151 tekintet\u00e9ben a standard beavatkoz\u00e1ssal\n                    szemben. Orv Hetil. 2022; 163(35): 1394\u20131401.<\/jats:p>","DOI":"10.1556\/650.2022.32560","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T01:41:14Z","timestamp":1668822074000},"page":"1394-1401","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Minim\u00e1linvaz\u00edv aortabillenty\u0171-be\u00fcltet\u00e9s sor\u00e1n nyert kezdeti tapasztalataink"],"prefix":"10.1556","volume":"163","author":[{"given":"Bogl\u00e1rka","family":"Juh\u00e1sz","sequence":"first","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Feln\u0151tt Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1lint","family":"Csik\u00f3s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, \u00c9r- \u00e9s Sz\u00edvseb\u00e9szeti Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Matlakovics","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Feln\u0151tt Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Szudi","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv ter\u00e1pi\u00e1s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen\u0151","family":"Szolnoky","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet, Feln\u0151tt Sz\u00edvseb\u00e9szeti Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Pr\u00e9da I, Czuriga I, \u00c9des I, et al. 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