| 标题： | 中国左心室辅助装置撤除评估和管理专家共识 |
| title： | Expert Consensus on the evaluation and management of Left Ventricular Assist Device (LVAD) Explantation in China |
| 版本： | 原创版 |
| version： | Original |
| 分类： | 专家共识 |
| classification： | Experts consensus |
| 领域： | 管理 |
| field： | Administration |
| 国家和地区： | 中国 |
| Country and region： | China |
| 指南使用者： | 心外科医师、心内科重症医师、收治LVAD和终末期心力衰竭患者相关的重症医学科、麻醉科、超声科及相关科室医师和护理人员等。 |
| Guide users： | Cardiac surgeons, critical care physicians in cardiology, critical care physicians related to the treatment of LVAD and end-stage heart failure patients, anesthesiologists, ultrasonologists, and relevant medical staff and nursing personnel. |
| 证据分级方法： | 证据等级分别3级： A 数据来源于多个随机对照临床研究或荟萃分析;未来研究几乎不可能改变现有疗效评价结果的可信度； B 数据源于单个随机对照临床研究或大样本量非随机对照研究;未来研究可能对现有疗效评价有重要影响,可能改变评估结果的可信度； C 数据源于专家观点和/ 或小样本量或回顾性研究、注册登机研究;未来研究很可能对现有疗效评价有重要影响,改变评估结果可信度的可能性较大。 |
| Evidence grading method： | Evidence is classified into three levels: - **Grade A Evidence**: Data are derived from multiple randomized controlled trials (RCTs) or meta-analyses; future research is unlikely to change the confidence in the current assessment of the intervention's efficacy. - **Grade B Evidence**: Data are derived from a single randomized controlled trial or large non-randomized controlled studies; future research may have a significant impact on the current assessment of the intervention's efficacy and may change the confidence in the evaluation results. - **Grade C Evidence**: Data are derived from expert opinions and/or small sample size studies, retrospective studies, or registry studies; future research is very likely to have a significant impact on the current assessment of the intervention's efficacy, with a high possibility of changing the confidence in the evaluation results. |
| 制定单位： | 中国医学科学院阜外医院 |
| Formulating unit： | Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Science and Peking Union Medical College |
| 注册时间： | 2024-07-10 |
| Registration time： | |
| 注册编号： | PREPARE-2024CN988 |
| Registration number： | |
| 指南制订的目的： | 左心室辅助装置（LVAD）是治疗终末期心力衰竭的有效治疗措施，已在我国逐步推广。本专家共识总结了 LVAD的撤除前的准备和评估、撤除的手术方式、撤除后的院内管理及长期管理等最新认识及规范，以期指导临床对LVAD撤除的规范化应用。为便于心外科、心内科、重症医学科医生熟悉和掌握LVAD撤除的科学方法，中国心室辅助装置专家共识委员会制定本共识。 |
| Purpose of the guideline： | The Left Ventricular Assist Device (LVAD) is an effective treatment for advanced heart failure and has been gradually promoted in China. This expert consensus summarizes the latest knowledge and standards on pre-explantation preparation and evaluation, surgical techniques for explantation, in-hospital post-explantation management, and long-term management. It aims to guide the standardized application of LVAD explantation in clinical practice. To facilitate cardiac surgeons, cardiologists, and critical care physicians in becoming familiar with and mastering the scientific methods of LVAD explantation, the China Ventricular Assist Device Expert Consensus Committee has formulated this consensus. |
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