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首页> 外文期刊>Journal of cardiac surgery. >Multispecialty involvement in the management of type B aortic dissections in the endovascular era—Implications for training cardiothoracic residents
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Multispecialty involvement in the management of type B aortic dissections in the endovascular era—Implications for training cardiothoracic residents

机译：多标准参与B型主动脉疏松症患者血管内的血管侵害培训患者患者的影响

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Purpose Involvement of qualified specialists with proficiency in endovascular therapies has created flux regarding the role of cardiothoracic surgeons, vascular surgeons, and other catheter‐skilled specialists in the management of type B aortic dissections. We used manuscript authorship trends and recent match data in order to study how multi‐specialty involvement in treating aortic dissections has changed in the endovascular era. Methods A PubMed review of published literature between 1998 and 2015 was performed with “aortic dissection” in the title. Case studies and entries with incomplete author or identifying information were excluded. Author number, specialty affiliation, and treatment focus were recorded. Available residency match data were obtained from the National Resident Matching Program (NRMP). Results Cardiothoracic surgeons represented 38.5% (10/23) of the authors for papers with an endovascular focus in 1998 compared with 27.7% (59/213) in 2015. Vascular surgeons represented 19.2% (5/23) and 37.1% (79/213) of authors in 1998 and 2015, respectively. Radiologists accounted for 30.4% (7/23) of authorship in 1998 and 8.9% (19/213) in 2015. NRMP match data revealed a 10.6% decrease in thoracic surgery matches from 2004 to 2015, while vascular surgery and interventional radiology increased by 74.7% and 191.1%, respectively. Conclusions Endovascular technologies have resulted in significant changes as to which specialties manage complicated type B aortic dissections. Vascular surgeons, with both open and extensive endovascular training are optimally positioned to assume a major role in the care of aortic dissection patients. Continued emphasis on endovascular training and multispecialty collaboration is essential for cardiothoracic surgeons in the endovascular era.
机译：合格的专家熟练熟练掌握血管内疗法的目的是有关Cardiracic外科医生，血管外科医生和其他导管技术专家在B型主动脉夹层管理中的作用的助核。我们使用了稿件作者趋势和最近的匹配数据，以研究血管内时代在血管内时代改变了治疗主动脉夹层的多种特种程度。方法对1998年至2015年间发表文献的PubMed审查是在标题中的“主动脉解剖”进行的。案例研究和具有不完整作者或识别信息的条目被排除在外。记录作者编号，专业隶属关系和治疗重点。可用的居住符合数据从国家居民匹配计划（NRMP）获得。结果38.7％（59/213）的血管内关注的纸张作者的作者为37.7％（59/213）。血管外科医生表示19.2％（5/23）和37.1％（79 / 213）分别于1998年和2015年的作者。辐射学家于1998年的30.4％（7/23），2015年的8.9％（19/213）。NRMP匹配数据从2004年至2015年的胸外科匹配率下降了10.6％，而血管手术和介入放射学增加分别为74.7％和191.1％。结论血管内技术已导致专业人员管理复杂的B主动脉夹层的显着变化。血管外科医生，开放和广泛的血管内训练最佳地定位，以假设在主动脉夹层患者的护理中具有重要作用。持续强调血管内训练，多层合作对于血管内时代的心血管外科医生至关重要。

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