Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Heart and Vascular Institute, Houston, Tex.
Department of Cardiovascular Surgery, Mount Sinai Health System, New York, NY.
J Thorac Cardiovasc Surg. 2019 Jun;157(6):2369-2376.e2. doi: 10.1016/j.jtcvs.2019.01.011. Epub 2019 Jan 15.
With the disruptive advancement of catheter-based technologies and minimally invasive techniques in structural heart disease, surgeons must obtain necessary skills to continue to serve this large patient population. We believe that surgeons are uniquely positioned to offer the full spectrum of therapy in structural heart disease (transcatheter, minimally invasive, and complex redo interventions), making them comprehensive valve specialists. Given the variability in structural heart training, we urgently recommend the establishment of a standardized curriculum and pathways for surgical trainees to gain proficiency in transcatheter technologies.
随着结构性心脏病介入技术和微创技术的突破性进展,外科医生必须获得必要的技能,以继续为这一大患者群体服务。我们认为,外科医生在结构性心脏病(经导管、微创和复杂再介入)治疗方面具有独特的优势,可以提供全面的治疗方案,使他们成为全面的瓣膜专家。鉴于结构性心脏病培训的多样性,我们强烈建议为外科受训者制定标准化课程和途径,使其熟练掌握经导管技术。