Shibbani Kamel, Kenny Damien, McElhinney Doff, Hijazi Ziyad M, Moran Tim
Lieber Institute For Brain Development, Johns Hopkins, Baltimore, MD, USA.
Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland.
Pediatr Cardiol. 2016 Jun;37(5):925-31. doi: 10.1007/s00246-016-1372-0. Epub 2016 Apr 11.
We carried out a device-needs survey to evaluate the gaps in device and equipment availability for congenital interventional cardiologists. As the complexity and demand for more complete solutions to congenital heart lesions increase, there is a growing need for modification and development of devices and equipment to support this endeavor. The survey was sent out via e-mail to members of the Congenital Cardiovascular Interventional Study Consortium and the Society for Cardiac Angiography and Interventions with a reach of over 350 congenital interventionalists. Responses were received from 68 cardiologists in 8 countries. In terms of the most desired device, 41 % ranked bioresorbable stents as their first choice from a list of 12 possible devices. Similarly, 23 % ranked large covered stents as their first choice. Twenty-seven percent of participants believed bioresorbable stents would have the greatest potential to improve morbidity of their patients, with another 27 % reporting that covered stents would have the greatest impact. Fifty percent of participants reported that they would like to see large covered stents available in their country. These data point toward a perceived need for the development/approval of bioresorbable stents for the pediatric age group, as well as the need to approve the use of large covered stents in the pediatric age group in the USA.
我们开展了一项设备需求调查，以评估先天性介入心脏病专家在设备和器械可用性方面的差距。随着先天性心脏病病变更完整解决方案的复杂性和需求不断增加，对支持这项工作的设备和器械进行改进和开发的需求也日益增长。该调查通过电子邮件发送给先天性心血管介入研究联盟和心血管造影与介入学会的成员，覆盖了350多名先天性介入专家。共收到来自8个国家68位心脏病专家的回复。在最期望的设备方面，在12种可能的设备中，41%将生物可吸收支架列为首选。同样，23%将大的覆膜支架列为首选。27%的参与者认为生物可吸收支架对改善患者发病率具有最大潜力，另有27%报告称覆膜支架影响最大。50%的参与者表示希望在本国能有大的覆膜支架。这些数据表明，人们认为需要为儿童年龄组开发/批准生物可吸收支架，以及在美国批准在儿童年龄组使用大的覆膜支架。
