摘要
根据心尖入路经导管主动脉瓣置换(transcatheter aortic valve replacement,TAVR)手术CT影像评估需求,采用德尔菲法提出20个临床问题,初步确定15个问题,由国内专家投票,汇总并确定12个临床问题。计算机检索PubMed、Web of Science、万方、中国知网,收集每个数据库建库至2022年11月的相关文献,最后纳入53篇文献。基于循证证据和评估经验,召开3次会议,对术前CT数据采集方法、主动脉根部术前影像评估、心尖入路影像评估、CT影像联合3D打印术前辅助指导TAVR、经心尖TAVR术后影像评估进行推荐,以期推动经心尖TAVR在我国规范、顺利地开展。
According to the needs of CT image evaluation for transapical transcatheter aortic valve replacement(TAVR),20 clinical questions were proposed by the Delphi method,15 questions were initially determined,and 12 clinical questions were summarized and determined by domestic experts.PubMed,Web of Science,Wanfang,and CNKI databases were searched by computer to collect the relevant literature from inception to November 2022,and finally 53 studies were included.Based on evidence-based study and evaluation experience,3 meetings were held to give recommendations for preoperative CT data acquisition method,preoperative imaging evaluation of aortic root,imaging evaluation of transapical approach,preoperative auxiliary guidance of TAVR by CT images combined with 3D printing,and postoperative imaging evaluation of transapical TAVR,hoping to promote the standardized and successful development of transapical TAVR in China.
作者
马燕燕
刘洋
杨剑
郭应强
TA-TAVR手术CT影像评估规范编写组
MA Yanyan;LIU Yang;YANG Jian;GUO Yingqiang;Writting Group of Evaluation Specification of CTImages for TA-TAVR(Department of Cardiovascular Surgery,The First Affiliated Hospital of Air Force Medical University,Xi'an,710032,P.R.China;Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;不详)
出处
《中国胸心血管外科临床杂志》
CSCD
北大核心
2023年第5期647-659,共13页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
经导管主动脉瓣置换
心尖入路
CT评估
3D打印
评估规范
Transcatheter aortic valve replacement
transapical approach
CT evaluation
3D printing
evaluation specification
作者简介
通信作者:杨剑,Email:yangjian1212@hotmail.com;通信作者:郭应强,Email:drguoyq@hotmail.com。
