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减少经导管主动脉瓣植入术后永久性起搏器植入(PPI)

Minimising permanent pacemaker implantation (PPI) after TAVI.

作者信息

MacCarthy Philip, Zaman Azfar, Uren Neal, Cockburn James, Dorman Stephen, Malik Iqbal, Muir Douglas, Ozkor Muhiddin Mick, Smith David, Shield Sarah

机构信息

Professor in Cardiology King's College Hospital NHS Foundation Trust, Denmark Hill, Brixton, London, SE5 9RS.

Professor of Cardiology Newcastle Upon Tyne Hospitals NHS Foundation Trust, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne, NE7 7DN.

出版信息

Br J Cardiol. 2021 Apr 22;28(2):20. doi: 10.5837/bjc.2021.020. eCollection 2021.

DOI:10.5837/bjc.2021.020
PMID:35747458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8822527/
Abstract

Increased demand for transcatheter aortic valve implantation (TAVI) procedures for patients with severe aortic stenosis has not been matched with a proportional increase in available resources in recent years. This article highlights the importance of developing integrated care pathways for TAVI, which incorporate standardised protocols for permanent pacemaker implantation (PPI) to ensure best practice, increase service efficiency and reduce rates of PPI post-TAVI.

摘要

近年来,严重主动脉瓣狭窄患者对经导管主动脉瓣植入术(TAVI)的需求不断增加,但可用资源却未相应成比例增加。本文强调了为TAVI制定综合护理路径的重要性,该路径纳入了永久性起搏器植入(PPI)的标准化方案,以确保最佳实践、提高服务效率并降低TAVI术后的PPI发生率。

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本文引用的文献

1
Association of Clinical and Economic Outcomes With Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后与永久性心脏起搏器植入相关的临床和经济结局。
JAMA Netw Open. 2018 May 18;1(1):e180088. doi: 10.1001/jamanetworkopen.2018.0088.
2
Mortality and Heart Failure Hospitalization in Patients With Conduction Abnormalities After Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术后传导异常患者的死亡率和心力衰竭住院率。
JACC Cardiovasc Interv. 2019 Jan 14;12(1):52-61. doi: 10.1016/j.jcin.2018.10.053.
3
Influence of permanent pacemaker implantation after transcatheter aortic valve implantation with new-generation devices.新一代装置经导管主动脉瓣植入术后永久性起搏器植入的影响
Neth Heart J. 2018 Dec;26(12):620-627. doi: 10.1007/s12471-018-1194-1.
4
Patient screening for early detection of aortic stenosis (AS)-review of current practice and future perspectives.用于早期检测主动脉瓣狭窄(AS)的患者筛查——当前实践与未来展望综述
J Thorac Dis. 2018 Sep;10(9):5584-5594. doi: 10.21037/jtd.2018.09.02.
5
Temporal Trends in Transcatheter Aortic Valve Replacement in France: FRANCE 2 to FRANCE TAVI.法国经导管主动脉瓣置换术的时间趋势:FRANCE 2 至 FRANCE TAVI。
J Am Coll Cardiol. 2017 Jul 4;70(1):42-55. doi: 10.1016/j.jacc.2017.04.053.
6
Large-scale community echocardiographic screening reveals a major burden of undiagnosed valvular heart disease in older people: the OxVALVE Population Cohort Study.大规模社区超声心动图筛查揭示老年人中未诊断瓣膜性心脏病的重大负担:牛津瓣膜病人群队列研究
Eur Heart J. 2016 Dec 14;37(47):3515-3522. doi: 10.1093/eurheartj/ehw229. Epub 2016 Jun 26.
7
Aortic stenosis in the elderly: disease prevalence and number of candidates for transcatheter aortic valve replacement: a meta-analysis and modeling study.老年人主动脉瓣狭窄:经导管主动脉瓣置换术候选人群的疾病患病率:一项荟萃分析和建模研究。
J Am Coll Cardiol. 2013 Sep 10;62(11):1002-12. doi: 10.1016/j.jacc.2013.05.015. Epub 2013 May 30.