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沙特心脏协会/国家心脏中心/沙特阿拉伯心脏介入学会/沙特心脏外科医生协会/沙特心脏影像小组2023年经导管主动脉瓣置入术指南

Saudi Heart Association/National Heart Center/Saudi Arabian Cardiac Interventional Society/Saudi Society for Cardiac Surgeons/Saudi Cardiac Imaging Group 2023 TAVI Guidelines.

作者信息

Albacker Turki, Tash Adel, Alamri Hussein, Alasnag Mirvat, Alkashkari Wail, Almutairi Fawaz, Alqoofi Faisal, Alsaileek Ahmed, Aluthman Uthman, Alzahrani Ghormallah, Balghith Mohammed, Makhdom Fahd

机构信息

Cardiac Sciences Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2024 Aug 15;36(2):184-231. doi: 10.37616/2212-5043.1379. eCollection 2024.

DOI:10.37616/2212-5043.1379
PMID:39234557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11373420/
Abstract

Saudi Arabia has seen a significant improvement in its healthcare system over the past four decades resulting in an increase in life-expectancy. Transcatheter aortic valve implantation (TAVI) has spread widely in Saudi Arabia and has become a routine procedure in many centers. The expanding clinical indications and the availability of the technology have made it possible for many large and intermediate centers all over the country to commence their own TAVI programs. So, the aim of this document is to standardize TAVI practices in different Saudi Arabian centers through reasonable guidelines based on the evaluation and summarization of the best available evidence. The review committee, composed of different experts in several aspects of the management of patient undergoing TAVI, based their recommendations on the reviewed and analyzed evidence and the class and level of recommendations were discussed until a consensus was reached by the panel.

摘要

在过去的四十年里,沙特阿拉伯的医疗保健系统有了显著改善,这使得预期寿命得以提高。经导管主动脉瓣植入术(TAVI)在沙特阿拉伯广泛传播,并在许多中心成为常规手术。临床适应症的不断扩大和该技术的可获得性,使得沙特全国各地的许多大型和中型中心都能够开展自己的TAVI项目。因此,本文件的目的是通过基于对现有最佳证据的评估和总结而制定的合理指南,规范沙特不同中心的TAVI操作。由TAVI患者管理多个方面的不同专家组成的审查委员会,根据审查和分析的证据提出建议,并对建议的类别和级别进行了讨论,直到专家小组达成共识。

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本文引用的文献

1
Comparison of different percutaneous revascularisation timing strategies in patients undergoing transcatheter aortic valve implantation.比较经导管主动脉瓣植入术患者不同经皮血运重建时机策略。
EuroIntervention. 2023 Sep 18;19(7):589-599. doi: 10.4244/EIJ-D-23-00186.
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Transcatheter Aortic Valve Replacement-Associated Infective Endocarditis: Comparison of Early, Intermediate, and Late-Onset Cases.经导管主动脉瓣置换术相关感染性心内膜炎:早发、中发和晚发病例的比较。
Struct Heart. 2022 Mar 17;6(1):100005. doi: 10.1016/j.shj.2022.100005. eCollection 2022 Apr.
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No Antithrombotic Therapy After Transcatheter Aortic Valve Replacement: Insight From the OCEAN-TAVI Registry.经导管主动脉瓣置换术后无抗血栓治疗:来自OCEAN-TAVI注册研究的见解
JACC Cardiovasc Interv. 2023 Jan 9;16(1):79-91. doi: 10.1016/j.jcin.2022.10.010. Epub 2022 Dec 14.
4
The Efficacy and Safety of Direct Oral Anticoagulants versus Standard of Care in Patients without an Indication of Anti-Coagulants after Transcatheter Aortic Valve Replacement: A Meta-Analysis of Randomized Controlled Trials.经导管主动脉瓣置换术后无抗凝指征患者中直接口服抗凝剂与标准治疗的疗效和安全性:一项随机对照试验的荟萃分析
J Clin Med. 2022 Nov 16;11(22):6781. doi: 10.3390/jcm11226781.
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Cerebral Embolic Protection in Transcatheter Aortic Valve Replacement: A Meta-Analysis of Randomized Clinical Trials.经导管主动脉瓣置换术中的脑栓塞保护:随机临床试验的荟萃分析
Am J Cardiol. 2023 Jan 15;187:179-180. doi: 10.1016/j.amjcard.2022.10.032. Epub 2022 Nov 14.
6
Apixaban and Valve Thrombosis After Transcatheter Aortic Valve Replacement: The ATLANTIS-4D-CT Randomized Clinical Trial Substudy.经导管主动脉瓣置换术后的阿哌沙班与瓣叶血栓:ATLANTIS-4D-CT 随机临床试验的子研究。
JACC Cardiovasc Interv. 2022 Sep 26;15(18):1794-1804. doi: 10.1016/j.jcin.2022.07.014. Epub 2022 Aug 31.
7
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N Engl J Med. 2022 Oct 6;387(14):1253-1263. doi: 10.1056/NEJMoa2204961. Epub 2022 Sep 17.
8
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Clin Res Cardiol. 2022 Dec;111(12):1387-1395. doi: 10.1007/s00392-022-02083-2. Epub 2022 Sep 8.
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