Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery Joint Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease
Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery Joint Position Statement on Open and Endovascular Surgery for Thoracic Aortic Disease
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DOI：
10.1016/j.cjca.2015.12.037
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发表时间：
2016-06-01
影响因子：
6.2
通讯作者：
Boodhwani, Munir
中科院分区：
文献类型：
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作者：
Appoo, Jehangir J.;Bozinovski, John;Boodhwani, Munir
2014年，加拿大心血管学会（CCS）发表了一份关于胸主动脉疾病管理的立场声明，涉及手术、成像方式、药物治疗和遗传学的尺寸阈值。它没有解决与手术干预有关的问题。本联合立场声明代表CCS、加拿大心脏外科医师协会和加拿大血管外科学会提供了关于胸主动脉疾病介入治疗的建议，包括：主动脉瓣修复术、主动脉弓修复术的灌注策略、急性A型夹层的扩展主动脉弓混合重建术、主动脉弓和降主动脉瘤的血管内管理以及B型夹层。该立场声明是使用建议评估、发展和评价分级（GRADE）方法构建的，并已得到初级小组、国际次级小组和CCS指南委员会的批准。血管内技术的出现提高了主动脉手术的安全性，扩大了微创胸主动脉手术的适应证。更安全的开放手术与血管内治疗的结合改善了心血管外科这一快速发展的亚专业领域的患者结局。
In 2014, the Canadian Cardiovascular Society (CCS) published a position statement on the management of thoracic aortic disease addressing size thresholds for surgery, imaging modalities, medical therapy, and genetics. It did not address issues related to surgical intervention. This joint Position Statement on behalf of the CCS, Canadian Society of Cardiac Surgeons, and the Canadian Society for Vascular Surgery provides recommendations about thoracic aortic disease interventions, including: aortic valve repair, perfusion strategies for arch repair, extended arch hybrid reconstruction for acute type A dissection, endovascular management of arch and descending aortic aneurysms, and type B dissection. The position statement is constructed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, and has been approved by the primary panel, an international secondary panel, and the CCS Guidelines Committee. Advent of endovascular technology has improved aortic surgery safety and extended the indications of minimally invasive thoracic aortic surgery. The combination of safer open surgery with endovascular treatment has improved patient outcomes in this rapidly evolving subspecialty field of cardiovascular surgery.