远程患者的优化评估途径:温哥华促进过导管大动脉植入程序
Ali Husain1,2, Julius Jelisejevas1,2, Andrew Chatfield1,2
1Centre for Cardiovascular Innovation, St Paul's Hospital and Vancouver General Hospital, Vancouver, British Columbia, Canada.
CJC open
|November 11, 2024
概括
一个新的虚拟途径通过导管大动脉植入 (TAVI) 评估安全有效地评估远程患者. 该计划改善了TAVI的获取,并减少了严重大动脉狭窄患者的医疗保健不平等.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
- 健康 公平 卫生 公平
背景情况:
- 越来越多的人对过导管大动脉植入 (TAVI) 的需求需要新的途径来实现公平的准入.
- 成立了温哥华促进的TAVI计划 (VFTP),以简化使用虚拟技术进行远程患者评估.
研究的目的:
- 评估虚拟途径的安全性和可行性,以评估TAVI的偏远患有严重大动脉狭窄的患者.
- 确定VFTP是否可以改善获得TAVI并减少医疗保健差距.
主要方法:
- 一项前性后续研究包括患有严重大动脉狭窄症的远程患者,他们面临着前往TAVI前检查的旅行困难.
- 使用虚拟技术评估了临床和心声学参数,并根据Valve学术研究联盟3指南进行报告.
主要成果:
- 在2020年12月至2023年3月期间,56名远程患者被录取.
- 98%的患者通过了查,其中80%被认为适合输TAVI. 在这组中,没有发生住院患者死亡率,中风或重大出血.
- 住院时间中位数为1天,并发症的发生率较低,如通道关闭失败,栓塞或心脏阻塞,需要植入心脏起器.
结论:
- 一个简化的虚拟评估途径TAVI候选是安全的和可行的.
- 该VFTP显示了增加TAVI可访问性和减轻护理不平等的潜力.
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