Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Sections of Infectious Diseases and Critical Care, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Ann Thorac Surg. 2022 Aug;114(2):387-393. doi: 10.1016/j.athoracsur.2022.05.001. Epub 2022 May 18.
The coronavirus disease 2019 (COVID-19) pandemic continues to disrupt the provision of cardiac procedural services due to overwhelming interval surges in COVID-19 cases and the associated crisis of cardiac intervention deferment. Despite the availability of widespread testing, highly efficacious vaccines, and intensive public health efforts, the pandemic is entering its third year, where new severe acute respiratory syndrome-coronavirus-2 variants have increased the likelihood that patients scheduled for a cardiac intervention will contract COVID-19 in the perioperative period. The Society of Thoracic Surgeons (STS) Workforce on Critical Care, the STS Workforce on Adult Cardiac and Vascular Surgery, and the Canadian Society of Cardiac Surgeons have developed this document, endorsed by the STS and affirmed by the Society of Cardiovascular Angiography and Interventions and the Canadian Association of Interventional Cardiology, to provide guidance for cardiac procedure deferment and intervention timing for preoperative patients diagnosed with COVID-19. This document is intended for the perioperative cardiac surgical team and outlines the present state of the pandemic, the impact of COVID-19 on intervention outcome, and offers a recommended algorithm for individualized cardiac procedure triage and timing.
2019 年冠状病毒病（COVID-19）大流行继续扰乱了心脏手术服务的提供，原因是 COVID-19 病例的间隔性激增和相关的心脏介入延迟危机。尽管有广泛的检测、高效疫苗和强化公共卫生措施，但大流行已经进入第三年，新的严重急性呼吸系统综合征冠状病毒 2 变体增加了已安排心脏介入的患者在围手术期感染 COVID-19 的可能性。胸外科医师学会（STS）重症监护工作组、STS 成人心脏和血管外科工作组以及加拿大心脏外科医师学会制定了本文件，得到 STS 的认可，并得到 STS 心血管血管造影和介入学会以及加拿大介入心脏病学协会的肯定，为术前诊断为 COVID-19 的患者提供心脏手术推迟和干预时机的指导。本文件面向围手术期心脏外科手术团队，概述了大流行的现状、COVID-19 对干预结果的影响，并提供了个体化心脏手术分类和时机的推荐算法。
