Minimally invasive atrioventricular valve surgery – current status and future perspectives

J. V. D. Merwe, F. Casselman, F. Praet
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引用次数: 1

Abstract

We are currently witnessing rapid evolution in minimally invasive and catheter-based atrioventricular valve interventions as acceptable alternatives to classic sternotomy access (CSA). Collectively, minimally invasive atrioventricular valve surgery (MIAS) is associated with significant learning curves and its routine application is met with varying degrees of enthusiasm in view of strict quality control, clinical governance and outcome reporting. Whether the reported potential benefits and comparable efficacy across a range of long-term outcome measures reported by experienced MIAS centres can be translated into general international surgical practice, are not well defined. This paper describes the historic evolution of MIAS, the contemporary clinical outcomes of MIAS compared with CSA, and the application of MIAS in “real-life” general practice.
微创房室瓣膜手术的现状和未来展望
目前,我们正在见证微创和基于导管的房室瓣膜介入治疗的快速发展,作为经典胸骨切开术(CSA)的可接受替代方案。总的来说,微创房室瓣膜手术(MIAS)与显著的学习曲线相关,鉴于严格的质量控制、临床治理和结果报告,其常规应用受到了不同程度的热情。经验丰富的MIAS中心报告的潜在益处和可比疗效是否可以转化为一般的国际外科实践,目前还没有很好的定义。本文介绍了MIAS的历史演变,与CSA相比MIAS的当代临床结果,以及MIAS在“现实生活”全科实践中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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