诊断,分类和管理策略为心心门年结:一个心脏协作室的位置声明声明
Mayra E Guerrero1, Paul Grayburn2, Robert L Smith2
1Mayo Clinic, Rochester, Minnesota, USA.
JACC. Cardiovascular interventions
|September 27, 2023
概括
伴有严重中枢功能障碍的中枢环状 (MAC) 为门置换带来了挑战. 本综述将MAC特征分类为指导手术或透导管干预的治疗决策.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 额头环状 (MAC) 复杂化了严重的额头环功能障碍.
- 门置换 (手术或透导管) 由于患者的解剖学,并发症和年龄,在技术上具有挑战性.
研究的目的:
- 审查MAC的临床和解剖学特征,这些特征与中枢干预相关.
- 制定推和分级系统,用于治疗严重关功能障碍的MAC.
主要方法:
- 专家工作组在心脏门协作中心召开会议.
- 对MAC的临床和解剖特征的审查.
- 开发一个分级和分阶段系统 (绿色,黄色,红色灯).
主要成果:
- 识别MAC的干预措施的有利 (绿灯),具有挑战性 (黄色灯) 和禁止性 (红灯) 特性.
- 根据解剖学和临床因素提出的分级和分期系统.
结论:
- 需要一个结构化的方法来管理严重的关功能障碍的MAC.
- 拟议的系统旨在指导手术或透导管中枢干预的治疗决策.
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