Potluri Srinivasa, Sawhney Rahul, Dorton Cody, McCullough Kyle, Moubarak Ghadi, Shih Emily, Christensen Jared, DiMaio J Michael, Al-Azizi Karim, Dib Chadi, Sayfo Sameh, Szerlip Molly, Thomas Sibi, Levy Alfred, Hutcheson Kelly, Carranza Melissa, Douthit Samantha, Pettijohn Trent, Ryan William, Mack Michael
Department of Cardiology, Baylor Scott & White The Heart Hospital - Plano, Plano, Texas, USA.
Baylor Scott & White Research Institute, Plano, Texas, USA.
Proc (Bayl Univ Med Cent). 2024 Nov 22;38(1):28-33. doi: 10.1080/08998280.2024.2426925. eCollection 2025.
The heart team approach is now the standard of care for patients with complex coronary artery disease; however, the definition of a heart team is variable. We embarked on a project to create an extended, multidisciplinary heart team to evaluate patients we deemed high risk for coronary revascularization. In doing so, we created a new service, workflow, and paradigm.
Herein, we describe the process through which we created our high-risk percutaneous coronary intervention team, our criteria for determining risk, our process for evaluating these patients, and quality assurance. Additionally, we describe the design of our prospective study assessing 200 patients with complex coronary artery disease. The primary outcomes include the final heart team revascularization decision, all-cause mortality, major adverse cardiac events, acute kidney injury, postintervention bleeding, and length of stay.
Establishing a multidisciplinary heart team may help with complex and high-risk patient and family scenarios and potentially improve patient outcomes. A study has been initiated to test this hypothesis formally.
心脏团队模式现已成为复杂冠状动脉疾病患者的标准治疗方式；然而，心脏团队的定义并不统一。我们开展了一个项目，组建了一个扩大的多学科心脏团队，以评估我们认为冠状动脉血运重建高风险的患者。在此过程中，我们创建了一项新服务、工作流程和模式。
在此，我们描述创建高风险经皮冠状动脉介入治疗团队的过程、确定风险的标准、评估这些患者的流程以及质量保证。此外，我们描述了评估200例复杂冠状动脉疾病患者的前瞻性研究设计。主要结局包括心脏团队最终的血运重建决策、全因死亡率、主要不良心脏事件、急性肾损伤、干预后出血以及住院时间。
建立多学科心脏团队可能有助于应对复杂和高风险的患者及家庭情况，并有可能改善患者结局。现已启动一项研究以正式检验这一假设。
