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如何提高经导管主动脉瓣置入术(TAVI)流程的效率。

How to Make the TAVI Pathway More Efficient.

作者信息

Tchetche Didier, de Biase Chiara, Brochado Bruno, Mastrokostopoulos Antonios

机构信息

Groupe Cardiovasculaire Interventionnel, Clinique Pasteur Toulouse, France.

出版信息

Interv Cardiol. 2019 Feb;14(1):31-33. doi: 10.15420/icr.2018.28.2.

DOI:10.15420/icr.2018.28.2
PMID:30858889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6406128/
Abstract

Transcatheter aortic valve implantation (TAVI) has been in use for 16 years. As there has been a rapid expansion in its use, there is a need to optimise TAVI programmes to ensure efficiency. In this article, the authors discuss the reasons why clinicians need to make the TAVI pathway more efficient and describe the most important steps to take from screening to early discharge, including procedural optimisation.

摘要

经导管主动脉瓣植入术(TAVI)已应用16年。随着其应用的迅速扩展,有必要优化TAVI项目以确保效率。在本文中,作者讨论了临床医生需要提高TAVI流程效率的原因,并描述了从筛查到早期出院的最重要步骤,包括手术优化。

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How to Make the TAVI Pathway More Efficient.如何提高经导管主动脉瓣置入术(TAVI)流程的效率。
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本文引用的文献

1
Local Anesthesia-Conscious Sedation: The Contemporary Gold Standard for Transcatheter Aortic Valve Replacement.局部麻醉-清醒镇静:经导管主动脉瓣置换术的当代金标准
JACC Cardiovasc Interv. 2018 Mar 26;11(6):579-580. doi: 10.1016/j.jcin.2018.01.238.
2
TAVI with current CE-marked devices: strategies for optimal sizing and valve delivery.使用当前获得CE认证的设备进行经导管主动脉瓣植入术:最佳尺寸选择和瓣膜输送策略。
EuroIntervention. 2016 Sep 18;12(Y):Y22-7. doi: 10.4244/EIJV12SYA6.
3
Comparison of vascular closure devices for access site closure after transfemoral aortic valve implantation.经股主动脉瓣置换术后血管入路封堵器比较。
Eur Heart J. 2015 Dec 14;36(47):3370-9. doi: 10.1093/eurheartj/ehv417. Epub 2015 Aug 26.
4
New-generation TAVI devices: description and specifications.新一代经导管主动脉瓣植入术(TAVI)设备:描述与规格
EuroIntervention. 2014 Sep;10 Suppl U:U90-U100. doi: 10.4244/EIJV10SUA13.
5
Transcatheter aortic valve replacement in Europe: adoption trends and factors influencing device utilization.欧洲经导管主动脉瓣置换术:采用趋势和影响器械使用的因素。
J Am Coll Cardiol. 2013 Jul 16;62(3):210-219. doi: 10.1016/j.jacc.2013.03.074. Epub 2013 May 15.
6
Transfemoral aortic valve replacement with the Edwards SAPIEN and Edwards SAPIEN XT prosthesis using exclusively local anesthesia and fluoroscopic guidance: feasibility and 30-day outcomes.经股主动脉瓣置换术采用 Edwards SAPIEN 和 Edwards SAPIEN XT 假体,仅使用局部麻醉和透视引导:可行性和 30 天结果。
JACC Cardiovasc Interv. 2012 May;5(5):461-467. doi: 10.1016/j.jcin.2012.01.018. Epub 2012 May 9.
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Registry of transcatheter aortic-valve implantation in high-risk patients.经导管主动脉瓣植入术高危患者注册研究。
N Engl J Med. 2012 May 3;366(18):1705-15. doi: 10.1056/NEJMoa1114705.
8
Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description.经皮导管植入主动脉瓣假体治疗钙化性主动脉瓣狭窄:首例人体病例描述。
Circulation. 2002 Dec 10;106(24):3006-8. doi: 10.1161/01.cir.0000047200.36165.b8.