Dataset Information

SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup.

ABSTRACT:

SUBMITTER: Grines CL

PROVIDER: S-EPMC11307489 | biostudies-literature | 2023 Mar-Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup.

Grines Cindy L CL Box Lyndon C LC Mamas Mamas A MA Abbott J Dawn JD Blankenship James C JC Carr Jeffrey G JG Curzen Nick N Kent William D T WDT Khatib Yazan Y Matteau Alexis A Rymer Jennifer A JA Schreiber Theodore L TL Velagapudi Poonam P Vidovich Mladen I MI Waldo Stephen W SW Seto Arnold H AH

Journal of the Society for Cardiovascular Angiography & Interventions 20230130 2

PMID: 39129815

Similar Datasets

Project description:An American Hepato-Pancreato-Biliary Association (AHPBA)-sponsored consensus meeting of expert panellists met on 15 January 2014 to review current evidence on the management of intrahepatic cholangiocarcinoma (ICC) in order to establish practice guidelines and to agree on consensus statements. The treatment of ICC requires a coordinated, multidisciplinary approach to optimize survival. Biopsy is not necessary if the surgeon suspects ICC and is planning curative resection, although biopsy should be obtained before systemic or locoregional therapies are initiated. Assessment of resectability is best accomplished using cross-sectional imaging [computed tomography (CT) or magnetic resonance imaging (MRI)], but the role of positron emission tomography (PET) is unclear. Resectability in ICC is defined by the ability to completely remove the disease while leaving an adequate liver remnant. Extrahepatic disease, multiple bilobar or multicentric tumours, and lymph node metastases beyond the primary echelon are contraindications to resection. Regional lymphadenectomy should be considered a standard part of surgical therapy. In patients with high-risk features, the routine use of diagnostic laparoscopy is recommended. The preoperative diagnosis of combined hepatocellular carcinoma and cholangiocarcinoma (cHCC-CC) by imaging studies is extremely difficult. Surgical resection remains the mainstay of treatment, but survival is worse than in HCC alone. There are no adequately powered, randomized Phase III trials that can provide definitive recommendations for adjuvant therapy for ICC. Patients with high-risk features (lymphovascular invasion, multicentricity or satellitosis, large tumours) should be encouraged to enrol in clinical trials and to consider adjuvant therapy. Cisplatin plus gemcitabine represents the standard-of-care, front-line systemic therapy for metastatic ICC. Genomic analyses of biliary cancers support the development of targeted therapeutic interventions.

Dataset Information

SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup.

Publications

SCAI Expert Consensus Statement on Percutaneous Coronary Intervention Without On-Site Surgical Backup.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets