Transcatheter aortic valve replacement (TAVR) has been a crucial treatment for elder patients with aortic stenosis in developed countries, which is still at its beginning in China. TAVR is a risky and complicated technic; and to promise the long-term development of it, we need to build a multiple disciplinary heart team consisted of doctors from different specialties and guided by various disciplines, also to guarantee the team operates well. In order to help Chinese doctors understand heart team well, this article describes component parts and requirement for each member of the team, in aspect of cardiologist, cardiac surgeon, echocardiologist, radiologist, anesthesiologist and nursing team; and discuss team operation mechanism through pre-procedural evaluation, procedural cooperation, peri-procedural management and post-procedural follow-up.
Citation：
HUO Yong, MA Wei. Heart team construction and operation in transcatheter aortic valve replacement. West China Medical Journal, 2018, 33(2): 137-139. doi: 10.7507/1002-0179.201801011
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Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol, 2017, 70(2): 252-289.
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Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J, 2017, 38(36): 2739-2791.
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中国医师协会心血管内科医师分会结构性心脏病专业委员会, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 2015, 23(12): 661-667.
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中国医师协会心血管内科医师分会结构性心脏病专业委员会, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换团队建设及运行规范中国专家建议. 中国医学前沿杂志: 电子版, 2018, 10(1). https://mp.weixin.qq.com/s?__biz=MjM5NzYyNDg1Mg%3D%3D&idx=2&mid=2257486645&scene=45&sn=3d7b1aea34fd44d2b59e1c308e17a716.
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- 1. Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol, 2017, 70(2): 252-289.
- 2. Baumgartner H, Falk V, Bax JJ, et al. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J, 2017, 38(36): 2739-2791.
- 3. 中国医师协会心血管内科医师分会结构性心脏病专业委员会, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换术中国专家共识. 中国介入心脏病学杂志, 2015, 23(12): 661-667.
- 4. 中国医师协会心血管内科医师分会结构性心脏病专业委员会, 中华医学会心血管病学分会结构性心脏病学组. 经导管主动脉瓣置换团队建设及运行规范中国专家建议. 中国医学前沿杂志: 电子版, 2018, 10(1). https://mp.weixin.qq.com/s?__biz=MjM5NzYyNDg1Mg%3D%3D&idx=2&mid=2257486645&scene=45&sn=3d7b1aea34fd44d2b59e1c308e17a716.
