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提高外周动脉疾病患者护理适宜性的标准。

Raising the bar for appropriateness in the care of patients with peripheral artery disease.

作者信息

Ochoa Chaar Cassius Iyad, Fereydooni Arash, Lawrence Peter F, Dardik Alan

机构信息

Section of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Yale University School of Medicine, New Haven, Conn.

出版信息

J Vasc Surg Cases Innov Tech. 2019 Jul 5;5(3):345-349. doi: 10.1016/j.jvscit.2019.03.009. eCollection 2019 Sep.

DOI:10.1016/j.jvscit.2019.03.009
PMID:31334415
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6614600/
Abstract

Advances in endovascular therapy have exponentially increased the number of procedures performed for peripheral artery disease, but public concerns of overuse have placed the vascular community under scrutiny. The appropriateness of care has thus become a focus of discussion within several professional societies, but literature on the topic is limited. This report presents two cases of patients with peripheral artery disease, one patient who did not need revascularization and underwent an intervention and the other who required additional intervention that was not recognized owing to an incomplete diagnostic workup.

摘要

血管内治疗的进展使外周动脉疾病的手术数量呈指数级增长,但公众对过度治疗的担忧使血管领域受到了审视。因此,医疗服务的适宜性已成为多个专业协会讨论的焦点,但关于这一主题的文献有限。本报告介绍了两例外周动脉疾病患者的病例,一例患者不需要血管重建却接受了干预,另一例患者因诊断检查不完整而未识别出需要额外干预的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c01/6614600/6e9aa44d35ba/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c01/6614600/9d7d6e6a3f0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c01/6614600/6e9aa44d35ba/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c01/6614600/9d7d6e6a3f0c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c01/6614600/6e9aa44d35ba/gr2.jpg

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本文引用的文献

1
Global vascular guidelines on the management of chronic limb-threatening ischemia.全球血管指南:慢性肢体威胁性缺血的管理。
J Vasc Surg. 2019 Jun;69(6S):3S-125S.e40. doi: 10.1016/j.jvs.2019.02.016. Epub 2019 May 28.
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ACR Appropriateness Criteria Iliac Artery Occlusive Disease.美国放射学会(ACR)髂动脉闭塞性疾病适宜性标准
J Am Coll Radiol. 2017 Nov;14(11S):S530-S539. doi: 10.1016/j.jacr.2017.08.039.
3
ACR Appropriateness Criteria Vascular Claudication-Assessment for Revascularization.ACR 适宜性标准 血管性跛行-血运重建评估。
J Am Coll Radiol. 2017 May;14(5S):S372-S379. doi: 10.1016/j.jacr.2017.02.037.
4
2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2016 年美国心脏协会/美国心脏病学会下肢外周动脉疾病管理指南:执行摘要:美国心脏病学会/美国心脏协会临床实践指南工作组的报告。
Circulation. 2017 Mar 21;135(12):e686-e725. doi: 10.1161/CIR.0000000000000470. Epub 2016 Nov 13.
5
Reporting standards of the Society for Vascular Surgery for endovascular treatment of chronic lower extremity peripheral artery disease.血管外科学会关于慢性下肢外周动脉疾病血管内治疗的报告标准。
J Vasc Surg. 2016 Jul;64(1):e1-e21. doi: 10.1016/j.jvs.2016.03.420.
6
"Better" (sometimes) in vascular disease management.在血管疾病管理中(有时)“更好” 。
J Vasc Surg. 2016 Jan;63(1):260-9. doi: 10.1016/j.jvs.2015.10.022.
7
Appropriate Use Criteria for Coronary Revascularization and Trends in Utilization, Patient Selection, and Appropriateness of Percutaneous Coronary Intervention.冠状动脉血运重建的合理使用标准以及经皮冠状动脉介入治疗的利用趋势、患者选择和适宜性
JAMA. 2015 Nov 17;314(19):2045-53. doi: 10.1001/jama.2015.13764.
8
Statement from the European Society of Vascular Surgery and the World Federation of Vascular Surgery Societies: Transatlantic Inter-Society Consensus Document (TASC) III and International Standards for Vascular Care (ISVaC).欧洲血管外科学会和世界血管外科学会联合会声明:跨大西洋学会间共识文件(TASC)III与国际血管护理标准(ISVaC)
Eur J Vasc Endovasc Surg. 2014 Feb;47(2):118. doi: 10.1016/j.ejvs.2013.11.009. Epub 2013 Nov 28.
9
Epidemiology of peripheral artery disease.外周动脉疾病的流行病学。
Circ Res. 2015 Apr 24;116(9):1509-26. doi: 10.1161/CIRCRESAHA.116.303849.
10
Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication.血管外科学会下肢动脉粥样硬化闭塞性疾病实践指南:无症状疾病和间歇性跛行的管理
J Vasc Surg. 2015 Mar;61(3 Suppl):2S-41S. doi: 10.1016/j.jvs.2014.12.009. Epub 2015 Jan 28.