体外膜肺氧合辅助循环崩溃高风险经导管主动脉瓣置换术技术要点专家共识  

Expert consensus on the technical key points of extracorporeal membrane oxygenation assisted hemodynamic collapse high-risk transcatheter aortic valve replacement

作　　者：中国医疗保健国际交流促进会胸痛学分会 山东省医学会心肺复苏与体外生命支持多学科联合委员会 《体外膜肺氧合辅助循环崩溃高风险经导管主动脉瓣置换术技术要点专家共识》专家组 陈玉国[2] 徐峰[2] 李传保[2] 边圆[2] 刘海雁 高璐瑶 杨秀婷 曹盛川 韩宇[2] 刘维康 刘湘国 夏亚楠 The Chest Pain Branch of China International Exchange and Promotive Association for Medical;Health Care and the Multidisciplinary Joint Committee of Cardiopulmonary Resuscitation and Extracorporeal Life Support of Shandong Medical Association;Expert Group of the Technical Key Points of Extracorporeal Membrane Oxygenation Assisted Hemodynamic Collapse High-Risk Transcatheter Aortic Valve Replacement;CHEN Yu-guo;XU Feng;LI Chuan-bao;BIAN Yuan

机构地区：[1]不详 [2]山东大学齐鲁医院

出　　处：《中国介入心脏病学杂志》2023年第11期810-819,共10页Chinese Journal of Interventional Cardiology

基　　金：国家自然科学基金重点项目(82030059);国家重点研发计划项目(2020YFC1512700);山东省重点研发计划项目(2021ZLGX02)。

摘　　要：经导管主动脉瓣置换术(TAVR)患者围术期发生心搏骤停、急性心力衰竭、恶性心律失常、急性肾功能衰竭等严重并发症时,应用体外膜肺氧合(ECMO)等循环辅助支持可改善患者预后。但目前对于ECMO辅助循环崩溃高风险TAVR的技术要点尚未形成系统、规范共识。为此,由中国医疗保健国际交流促进会胸痛学分会、山东省医学会心肺复苏与体外生命支持多学科联合委员会牵头组织国内急危重症、心血管内外科、医学影像、康复医学等领域的专家,梳理了国内外最新循证医学证据和重要进展,结合专家临床实践经验,共同制订了《体外膜肺氧合辅助循环崩溃高风险经导管主动脉瓣置换术技术要点专家共识》,旨在规范TAVR围术期ECMO的主要技术要点,以期使ECMO更好服务于TAVR围术期管理,进一步提高TAVR患者的手术成功率,改善患者预后。When patients undergoing transcatheter aortic valve replacement(TAVR)with severe complications such as cardiac arrest,acute heart failure,malignant arrhythmia and acute renal failure during perioperative period,the use of extracorporeal membrane oxygenation(ECMO)and other circulatory support can improve the prognosis.However,at present,there is no systematic and normative consensus on the technical key points of ECMO assisting cyclic crash high-risk TAVR.To this end,the Chest Pain Branch of China International Exchange and Promotive Association for Medical and Health Care and the Multidisciplinary Joint Committee of Cardiopulmonary Resuscitation and Extracorporeal Life Support of Shandong Medical Association led to organize domestic experts in the fields of acute and critical illness,cardiovascular medicine and surgery,medical imaging,rehabilitation medicine,etc.,to review the latest evidence-based medical evidence and important progress at home and abroad,and combine the clinical experience of experts.The Expert Consensus on the Technical Key Points of ECMO-assisted high-risk TAVR was jointly formulated to standardize the main technical key points of perioperative ECMO of cyclic crash high-risk TAVR,so as to make ECMO better serve the perioperative management of TAVR,further improve the success rate of surgery and the prognosis in Chinese of TAVR patients.

关 键 词：经导管主动脉瓣置换术 主动脉瓣狭窄 体外膜肺氧合 专家共识 

分 类 号：R54[医药卫生—心血管疾病]