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Viewpoint: transitions in cardiac surgery and interventional cardiology...team mates or rivals?

Heart, 2015, Vol.101 (5), p.346 [Peer Reviewed Journal]

Copyright: 2015 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions ;ISSN: 1355-6037 ;EISSN: 1468-201X ;DOI: 10.1136/heartjnl-2014-306132

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  • Title:
    Viewpoint: transitions in cardiac surgery and interventional cardiology...team mates or rivals?
  • Author: Verrier, Edward D ; Mack, Michael J
  • Subjects: Cardiovascular disease ; Congenital diseases ; Decision making ; Physicians
  • Is Part Of: Heart, 2015, Vol.101 (5), p.346
  • Description: Decisions in a particular patient must be individualised but the recommendations should distinguish between the patient with a single discrete single coronary vessel lesion readily amenable to a percutaneous approach and the patient with left main or complex diffuse multi-vessel coronary artery disease with a high SYNTAX score where the data would favour a surgical revascularisation. Since many patients fall in between these two extremes, multidisciplinary discussion within the team might not always reach consensus but conversations with the patient and family should be more transparent and representative of alternative perspectives. For all TAVR procedures, the consensus document supported by the major US interventional (American College of Cardiology Foundation, Society of Cardiovascular Angiography and Interventions) and surgical (Society of Thoracic Surgery, American Association of Thoracic Surgery) societies emphasises the importance of a multidisciplinary team that includes interventional cardiology, cardiac surgery, anaesthesiology, radiology, intensive care and nursing. 4 The document clearly recommends that: 'Another mechanism for promoting a team approach that involves both surgeons and cardiologists is split or shared physician reimbursement for these procedures, which this writing group strongly endorses.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 1355-6037
    EISSN: 1468-201X
    DOI: 10.1136/heartjnl-2014-306132
  • Source: ProQuest Central
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