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跳出固有思维：介入外科医生。

Thinking Outside the Box: The Interventional Surgeon.

机构信息

Department of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia (IDPC), São Paulo, São Paulo, Brazil.

Department of Cardiovascular Surgery, Hospital do Coração (HCor), São Paulo, São Paulo, Brazil.

出版信息

Braz J Cardiovasc Surg. 2024 Apr 3;39(3):e20230207. doi: 10.21470/1678-9741-2023-0207.

DOI:10.21470/1678-9741-2023-0207
PMID:38569074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10989677/
Abstract

Advances in treatment of structural heart disease have been disruptive to cardiovascular surgery, and there have been discussions about how to incorporate these technologies into the surgeons' therapeutic arsenal. Transcatheter procedures, complex redo interventions, and endovascular aortic approaches are already practiced by cardiovascular surgeons in Brazil. The expansion of these techniques, coupled with recent changes in the country's medical residency program in cardiovascular surgery, has led to an urgent need to acquire catheter-based skills. In this article, we discuss these aspects in the light of the reality of cardiovascular surgery training in Brazil.

摘要

结构性心脏病治疗领域的进展给心血管外科学带来了颠覆性的改变，人们也在讨论如何将这些技术融入外科医生的治疗武器库中。经导管手术、复杂的再次介入治疗和血管内主动脉入路，已经在巴西的心血管外科医生中开展。这些技术的扩展，加上该国心血管外科学住院医师培训项目的最新变化，导致了对获得基于导管的技能的迫切需求。本文结合巴西心血管外科学培训的实际情况对这些方面进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/dccc97c239d0/bjcvs-39-03-e20230207-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/4fa752f59b9e/bjcvs-39-03-e20230207-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/b4edb23f4276/bjcvs-39-03-e20230207-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/dccc97c239d0/bjcvs-39-03-e20230207-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/4fa752f59b9e/bjcvs-39-03-e20230207-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/b4edb23f4276/bjcvs-39-03-e20230207-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9256/10989677/dccc97c239d0/bjcvs-39-03-e20230207-g03.jpg

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本文引用的文献

1
Cardiac Surgery Training in Brazil - What Are We Discussing in Our Journal?巴西心脏外科学术培训——我们的期刊讨论了什么？
Braz J Cardiovasc Surg. 2023 Feb 10;38(1):157-161. doi: 10.21470/1678-9741-2022-0330.
2
Change in the SBCCV's Medical Residency Program - Perspectives of the Specialty and Challenges of Young Surgeons.SBCCV医学住院医师培训项目的变革——专科视角与年轻外科医生面临的挑战
Braz J Cardiovasc Surg. 2022 Aug 16;37(4):i-iv. doi: 10.21470/1678-9741-2022-0957.
3
First-in-Human Endo-Bentall Procedure for Simultaneous Treatment of the Ascending Aorta and Aortic Valve.
首例用于同时治疗升主动脉和主动脉瓣的人体内置Bentall手术
JACC Case Rep. 2020 Feb 12;2(3):480-485. doi: 10.1016/j.jaccas.2019.11.071. eCollection 2020 Mar.
4
Eight-year outcomes for patients with aortic valve stenosis at low surgical risk randomized to transcatheter vs. surgical aortic valve replacement.低手术风险主动脉瓣狭窄患者经导管主动脉瓣置换术与外科主动脉瓣置换术随机分组的 8 年结果。
Eur Heart J. 2021 Aug 7;42(30):2912-2919. doi: 10.1093/eurheartj/ehab375.
5
Training the trainee in structural heart disease: A need for change.对实习医生进行结构性心脏病方面的培训：变革的必要性。
J Thorac Cardiovasc Surg. 2022 Jun;163(6):2166-2170. doi: 10.1016/j.jtcvs.2021.02.016. Epub 2021 Feb 16.
6
STS-ACC TVT Registry of Transcatheter Aortic Valve Replacement.经导管主动脉瓣置换术的STS-ACC TVT注册研究
J Am Coll Cardiol. 2020 Nov 24;76(21):2492-2516. doi: 10.1016/j.jacc.2020.09.595.
7
Heart Surgery and Disruptive Technology.心脏手术与颠覆性技术
Braz J Cardiovasc Surg. 2019 Dec 1;34(5):I-II. doi: 10.21470/1678-9741-2019-0609.
8
Cardiac surgery residents training in Germany-Status quo and future prospects.德国心脏外科住院医师培训——现状与未来展望。
J Thorac Cardiovasc Surg. 2020 Feb;159(2):579-587. doi: 10.1016/j.jtcvs.2019.08.020. Epub 2019 Sep 9.
9
Transcatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients.经皮球囊扩张式主动脉瓣置换术治疗低危患者。
N Engl J Med. 2019 May 2;380(18):1695-1705. doi: 10.1056/NEJMoa1814052. Epub 2019 Mar 16.
10
Transcatheter Aortic-Valve Replacement with a Self-Expanding Valve in Low-Risk Patients.经导管主动脉瓣置换术治疗低危患者的自膨式瓣膜。
N Engl J Med. 2019 May 2;380(18):1706-1715. doi: 10.1056/NEJMoa1816885. Epub 2019 Mar 16.