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Standards for heart valve surgery in a ‘Heart Valve Centre of Excellence’

Surgical centres of excellence should include multidisciplinary teams with specialist expertise in imaging, clinical assessment and surgery for patients with heart valve disease. There should be structured training programmes for the staff involved in the periprocedural care of the patient and these...

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Detalles Bibliográficos
Autores principales: Chambers, John, Ray, Simon, Prendergast, Bernard, Graham, Tim, Campbell, Brian, Greenhalgh, Donna, Petrou, Mario, Tinkler, Jeremy, Gohlke-Bärwolf, Christa, Mestres, Carlos A, Rosenhek, Raphael, Pibarot, Philippe, Otto, Catherine, Sundt, Thoralf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499687/
https://www.ncbi.nlm.nih.gov/pubmed/26180639
http://dx.doi.org/10.1136/openhrt-2014-000216
Descripción
Sumario:Surgical centres of excellence should include multidisciplinary teams with specialist expertise in imaging, clinical assessment and surgery for patients with heart valve disease. There should be structured training programmes for the staff involved in the periprocedural care of the patient and these should be overseen by national or international professional societies. Good results are usually associated with high individual and centre volumes, but this relationship is complex. Results of surgery should be published by centre and should include rates of residual regurgitation for mitral repairs and reoperation rates matched to the preoperative pathology and risk.