中国经导管二尖瓣缘对缘修复术临床路径(2022版)精简版  

Clinical Pathway for Transcatheter Mitral Valve Edge-to-edge Repair in China(2022 Edition)

作　　者：中国医师协会心血管内科医师分会结构性心脏病学组 亚太结构性心脏病俱乐部 卢志南 宋光远 潘文志[3] 刘先宝[4] 蒲朝霞[4] 李伟[3] 科雨彤 刘然[2] 李捷[5] 李飞 尚小珂 张晓春[3] 朱政斌[8] 张龙岩 姜正明 弭守玲[3] 方臻飞 徐凯 韩克 张东会 王斌 方军[16] 刘长福[17] 张兆国 喻鹏铭 吴永健 林逸贤 周达新 Structural Cardiology Committee of Cardiovascular Physicians Branch of Chinese Medical Doctor Association;Asia Pacific Structural Heart Disease Club

机构地区：[1]不详 [2]首都医科大学附属北京安贞医院 [3]复旦大学附属中山医院 [4]浙江大学医学院附属第二医院 [5]广东省人民医院 [6]空军军医大学西京医院 [7]华中科技大学同济医学院附属协和医院 [8]上海交通大学医学院附属瑞金医院 [9]武汉亚洲心脏病医院 [10]郑州大学第一附属医院 [11]中南大学湘雅二医院 [12]解放军北部战区总医院 [13]西安交通大学附属第一医院 [14]哈尔滨医科大学附属第二医院 [15]厦门大学附属心血管病医院 [16]福建医科大学防附属协和医院 [17]解放军总医院 [18]北京清华长庚医院 [19]四川大学华西医院

出　　处：《中国循环杂志》2023年第3期272-283,共12页Chinese Circulation Journal

摘　　要：经导管二尖瓣缘对缘修复术(TEER)已成为外科手术高危的重度二尖瓣反流患者的重要治疗选择,TEER的手术流程复杂,团队协作要求高,在中国尚缺乏规范的临床路径。基于当前循证医学证据,针对TEER团队建设、患者临床评估、影像评估、手术规范流程、复杂病变处理、围术期管理、全生命周期康复随访等临床关注的关键问题,专家组有针对性撰写了此临床路径,以推动我国TEER安全、规范地开展和普及,进而提高我国二尖瓣反流的诊疗水平以及改善患者预后。Transcatheter mitral valve edge-to-edge repair(TEER)has become an important treatment opinion for patients with severe mitral regurgitation(MR)at high risk for surgery.TEER is going through a key stage of rapid development in China.TEER involves complex devices and procedural techniques and requires excellent team collaboration.However,there is still a lack of a standardized clinical pathway for TEER in China.Based on the latest evidence,the expert group wrote this clinical pathway to guide and optimize TEER therapy in clinical practice.It includes the following key issues in terms of clinical concern:(1)TEER team building;(2)Preoperative clinical evaluation of patients suitable for TEER;(3)Imaging assessment before TEER procedure;(4)Standardized procedures for TEER;(5)TEER for complex MR;(6)The standard process of comprehensive perioperative management;and(7)Full life-cycle rehabilitation and follow-up.This clinical pathway might facilitate the standardized development and application of TEER in China,and improve the management of patients with severe MR treated with TEER,thereby enhancing their quality of life.

关 键 词：经导管二尖瓣缘对缘修复术 影像 手术流程 围术期管理 康复 

分 类 号：R54[医药卫生—心血管疾病]