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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
The view from the interventionalist
1Department of Cardiology, Oxford Heart Centre, Oxford, UK. adrian.banning@orh.nhs.uk
Insights
Percutaneous valve replacement necessitates collaboration between interventional cardiologists and cardiothoracic surgeons. Evolving technologies require these specialists to cooperate for optimal patient care, moving beyond competition.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiothoracic Surgery
Background:
- Percutaneous valve replacement has expanded the collaboration between interventional cardiologists and cardiothoracic surgeons.
- This collaboration extends beyond coronary artery disease to include high-risk patients with severe aortic stenosis.
Purpose of the Study:
- To highlight the evolving professional relationship between interventional cardiology and cardiothoracic surgery.
- To emphasize the need for cooperation in managing complex cardiac conditions.
Main Methods:
- The abstract discusses the procedural interface and shared care models.
- It analyzes the impact of technological advancements on interdisciplinary collaboration.
Main Results:
- Technological evolution in cardiac interventions necessitates adaptation in interdisciplinary relationships.
- Past departmental separation and competition have negatively impacted patient care quality.
Conclusions:
- Optimal patient care, particularly for severe aortic stenosis, requires mutual evolution and cooperation between cardiology and surgery.
- Fractured professional relationships limit the quality of care delivered to cardiac patients.
Abstract:
The development of percutaneous valve replacement has broadened the procedural interface between interventional cardiologists and their cardiothoracic surgical colleagues. Our relationship is no longer restricted to the arena of coronary artery disease, and opportunities now exist to share the care of large numbers of high surgical risk patients with severe aortic stenosis. These complex professional relationships have a mutual dependence and many shared objectives that should be centred upon the optimal care of cardiac patients. However, the continuing evolution of technology demands that these relationships evolve with time. A failure to understand this need for mutual change and increased cooperation has previously led to a sense of competition and Departmental separation between cardiac intervention and surgery. These fractured relationships ultimately limit the quality of care that we deliver to our patients.
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