Kleiman Neal S, Welt Frederick G P, Truesdell Alexander G, Sherwood Matthew, Kadavath Sabeeda, Shah Pinak B, Klein Lloyd W, Hogan Shea, Kavinsky Clifford, Rab Tanveer
Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas, USA.
University of Utah Health, Salt Lake City, Utah, USA.
JACC Cardiovasc Interv. 2021 Jan 11;14(1):97-100. doi: 10.1016/j.jcin.2020.10.029.
The field of interventional cardiology has expanded rapidly. As a result, four evolving areas have evolved - peripheral vascular interventions, structural heart interventions, adult congenital heart intervention, and chronic total occlusion. The complexity of these procedures and the number of devices available has grown rapidly. In addition, the professional and public expectations of procedural success and of minimizing case-avoidance have also grown. Specific issues include volume-outcome relationships, maintaining currency and proficiency, accessibility to specialized procedures, and the need to maintain a fundamental level of expertise in acute coronary interventions.
介入心脏病学领域发展迅速。因此，出现了四个不断发展的领域——外周血管介入、结构性心脏病介入、成人先天性心脏病介入以及慢性完全闭塞病变。这些手术的复杂性以及可用器械的数量都迅速增加。此外，专业人士和公众对手术成功以及尽量减少并发症的期望也有所提高。具体问题包括手术量与治疗效果的关系、紧跟前沿技术并保持熟练程度、获得专业手术的机会，以及在急性冠状动脉介入治疗中保持基本专业水平的必要性。
