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经皮瓣膜与结构性心脏病介入治疗。欧洲心脏病学会(ESC)经皮心血管介入治疗欧洲协会(EAPCI)2024年核心课程,与欧洲心血管影像协会(EACVI)及欧洲心脏病学会心血管外科工作组(WG CVS)合作编写。

Percutaneous Valvular and Structural Heart Disease Interventions. 2024 Core Curriculum of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC in collaboration with the European Association of Cardiovascular Imaging (EACVI) and the Cardiovascular Surgery Working Group (WG CVS) of the European Society of Cardiology.

作者信息

Teles Rui Campante, Van Belle Eric, Parma Radoslaw, Tarantini Giuseppe, van Mieghem Nicolas, Mylotte Darren, Silva Joana Delgado, O'Connor Stephen, Sondegaard Lars, Luz Andre, Amat-Santos Ignacio Jesus, Arzamendi Dabit, Blackman Daniel, De Backer Ole, Kunadian Vijay, Buchanan Gill Louise, MacCarthy Phil, Lurz Philipp, Naber Christopher, Chieffo Alaide, Paradies Valeria, Gilard Martine, Vincent Flavien, Fraccaro Chiara, Mehilli Julinda, Giannini Cristina, Silva Bruno, Poliacikova Petra, Karam Nicole, Veulemans Verena, Thiele Holger, Pilgrim Thomas, van Wely Marleen, James Stefan, Schmidt Michael Rahbek, Uebing Anselm, Rück Andreas, Ghanem Alexander, Ghazzal Ziyad, Joshi Francis R, Favero Luca, Hermanides Renicus, Ninios Vlasis, Fovino Luca Nai, Nuis Rutger-Jan, Deharo Pierre, Kala Petr, Elbaz-Greener Gabby, Tchétché Didier, Agricola Eustachio, Thielmann Matthias, Donal Erwan, Bonaros Nikolaos, Droogmans Steven, Czerny Martin, Baumbach Andreas, Barbato Emanuele, Dudek Dariusz

机构信息

Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide and Comprehensive Health Research Center (CHRC), Nova Medical School, Lisbon, Portugal.

CHU Lille, Institut Coeur Poumon, Cardiologie, Université de Lille, France.

出版信息

EuroIntervention. 2024 Aug 30;20(22):1370-9. doi: 10.4244/EIJ-D-23-00983.


DOI:10.4244/EIJ-D-23-00983
PMID:39207816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11556405/
Abstract

The percutaneous treatment of structural, valvular, and non-valvular heart disease (SHD) is rapidly evolving. The Core Curriculum (CC) proposed by the EAPCI describes the knowledge, skills, and attitudes that define competency levels required by newly trained SHD interventional cardiologists (IC) and provides guidance for training centres. SHD ICs are cardiologists who have received complete interventional cardiology training. They are multidisciplinary team specialists who manage adult SHD patients from diagnosis to follow-up and perform percutaneous procedures in this area. They are competent in interpreting advanced imaging techniques and master planning software. The SHD ICs are expected to be proficient in the aortic, mitral, and tricuspid areas. They may have selective skills in either the aortic area or mitral/tricuspid areas. In this case, they must still have common transversal competencies in the aortic, mitral, and tricuspid areas. Additional SHD domain competencies are optional. Completing dedicated SHD training, aiming for full aortic, mitral, and tricuspid competencies, requires at least 18 months. For full training in the aortic area, with basic competencies in mitral/tricuspid areas, the training can be reduced to 1 year. The same is true for training in the mitral/tricuspid area, with competencies in the aortic area. The SHD IC CC promotes excellence and homogeneous training across Europe and is the cornerstone of future certifications and patient protection. It may be a reference for future CC for national associations and other SHD specialities, including imaging and cardiac surgery.

摘要

结构性、瓣膜性及非瓣膜性心脏病(SHD)的经皮治疗正在迅速发展。欧洲经皮心血管介入学会(EAPCI)提出的核心课程(CC)描述了新培训的SHD介入心脏病专家(IC)所需具备的定义能力水平的知识、技能和态度,并为培训中心提供指导。SHD IC是接受过完整介入心脏病学培训的心脏病专家。他们是多学科团队专家,负责管理成年SHD患者,从诊断到随访,并在该领域进行经皮手术。他们能够解读先进的成像技术并掌握规划软件。预计SHD IC在主动脉、二尖瓣和三尖瓣领域具备专业能力。他们可能在主动脉领域或二尖瓣/三尖瓣领域具备选择性技能。在这种情况下,他们在主动脉、二尖瓣和三尖瓣领域仍必须具备共同的横向能力。额外的SHD领域能力是可选的。完成旨在全面具备主动脉、二尖瓣和三尖瓣能力的专门SHD培训至少需要18个月。对于在主动脉领域进行全面培训,同时具备二尖瓣/三尖瓣领域的基本能力,培训可减至1年。在二尖瓣/三尖瓣领域进行培训并具备主动脉领域能力时也是如此。SHD IC CC促进了欧洲范围内的卓越和同质化培训,是未来认证和患者保护的基石。它可能成为国家协会和其他SHD专业(包括影像学和心脏外科)未来CC的参考。

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本文引用的文献

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2021 ESC/EACTS Guidelines for the management of valvular heart disease.

EuroIntervention. 2022-2-4

[2]
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