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急性缺血性脑卒中的多学科管理:血管内卒中治疗的当前证据培训要求。ESC 卒中委员会和欧洲经皮心血管介入协会的立场文件,得到欧洲神经介入委员会的支持。

Interdisciplinary management of acute ischaemic stroke: Current evidence training requirements for endovascular stroke treatment. Position Paper from the ESC Council on Stroke and the European Association for Percutaneous Cardiovascular Interventions with the support of the European Board of Neurointervention.

机构信息

Department Section of Neurointervention, National Institute of Clinical Neurosciences, Semmelweis University Heart and Vascular Center and Semmelweis University, Budapest, Hungary.

Mitteldeutsches Herzzentrum, Standort Bitterfeld-Wolfen, Germany.

出版信息

Eur Heart J. 2021 Jan 21;42(4):298-307. doi: 10.1093/eurheartj/ehaa833.

Abstract

This ESC Council on Stroke/EAPCI/EBNI position paper summarizes recommendations for training of cardiologists in endovascular treatment of acute ischaemic stroke. Interventional cardiologists adequately trained to perform endovascular stroke interventions could complement stroke teams to provide the 24/7 on call duty and thus to increase timely access of stroke patients to endovascular treatment. The training requirements for interventional cardiologists to perform endovascular therapy are described in details and should be based on two main principles: (i) patient safety cannot be compromised, (ii) proper training of interventional cardiologists should be under supervision of and guaranteed by a qualified neurointerventionist and within the setting of a stroke team. Interdisciplinary cooperation based on common standards and professional consensus is the key to the quality improvement in stroke treatment.

摘要

本 ESC 卒中委员会/ EAPCI/ EBNI 立场文件总结了对心血管病专家进行急性缺血性卒中血管内治疗培训的建议。经过充分培训以进行血管内卒中介入治疗的介入心脏病专家可以补充卒中团队,提供 24/7 随叫随到的值班服务,从而增加卒中患者及时接受血管内治疗的机会。本文详细描述了介入心脏病专家进行血管内治疗的培训要求,这些要求应基于以下两个主要原则:(i)不能损害患者安全,(ii)应在合格的神经介入医师的监督下,并在卒中团队的设置内,对介入心脏病专家进行适当的培训。基于共同标准和专业共识的跨学科合作是提高卒中治疗质量的关键。

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