https://scholars.lib.ntu.edu.tw/handle/123456789/533569
標題: | Transcatheter aortic valve implantation during the COVID-19 pandemic: Clinical expert opinion and consensus statement for Asia | 作者: | Tay E.L. Hayashida K. Chen M. Yin W.-H. Park D.-W. Seth A. HSIEN-LI KAO MAO-SHIN LIN Ho K.-W. Buddhari W. Chandavimol M. Posas F.-E. Nguyen Q.N. Kong W. Rosli M.A. Hon J. Firman D. Lee M. |
公開日期: | 2020 | 出版社: | Blackwell Publishing Inc. | 卷: | 35 | 期: | 9 | 起(迄)頁: | 2142-2146 | 來源出版物: | Journal of Cardiac Surgery | 摘要: | Objectives: The impact of the COVID-19 pandemic on the treatment of patient with aortic valve stenosis is unknown and there is uncertainty on the optimal strategies in managing these patients. Methods: This study is supported and endorsed by the Asia Pacific Society of Interventional Cardiology. Due to the inability to have face to face discussions during the pandemic, an online survey was performed by inviting key opinion leaders (cardiac surgeon/interventional cardiologist/echocardiologist) in the field of transcatheter aortic valve implantation (TAVI) in Asia to participate. The answers to a series of questions pertaining to the impact of COVID-19 on TAVI were collected and analyzed. These led subsequently to an expert consensus recommendation on the conduct of TAVI during the pandemic. Results: The COVID-19 pandemic had resulted in a 25% (10-80) reduction of case volume and 53% of operators required triaging to manage their patients with severe aortic stenosis. The two most important parameters used to triage were symptoms and valve area. Periprocedural changes included the introduction of teleconsultation, preprocedure COVID-19 testing, optimization of protests, and catheterization laboratory set up. In addition, length of stay was reduced from a mean of 4.4 to 4 days. Conclusion: The COVID-19 pandemic has impacted on the delivery of TAVI services to patients in Asia. This expert recommendation on best practices may be a useful guide to help TAVI teams during this period until a COVID-19 vaccine becomes widely available. ? 2020 Wiley Periodicals LLC |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85088572828&doi=10.1111%2fjocs.14722&partnerID=40&md5=944992f61956dae23da6894dae56ccf5 https://scholars.lib.ntu.edu.tw/handle/123456789/533569 |
ISSN: | 0886-0440 | DOI: | 10.1111/jocs.14722 | SDG/關鍵字: | aortic valve stenosis; Article; Asia; cardiac surgeon; cardiologist; consensus; coronavirus disease 2019; disease severity; disinfection; human; intensive care; length of stay; pandemic; teleconsultation; transcatheter aortic valve implantation; unnecessary procedure; aortic valve stenosis; consensus development; disease transmission; emergency health service; epidemiology; infection control; preoperative care; prevention and control; questionnaire; transcatheter aortic valve implantation; Aortic Valve Stenosis; Asia; COVID-19; COVID-19 Testing; Humans; Infection Control; Infectious Disease Transmission, Patient-to-Professional; Length of Stay; Pandemics; Preoperative Care; Remote Consultation; Surveys and Questionnaires; Transcatheter Aortic Valve Replacement; Triage |
顯示於: | 醫學系 |
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