We update the "2021 expert consensus on clinical pathway for transcatheter aortic valve replacement in China" using the Delphi method. By searching for evidence related to the clinical pathways of transcatheter aortic valve replacement (TAVR) in PubMed, CIKI, and Wanfang Database over the past four years, 35 core viewpoints were proposed in four directions: TAVR team composition and clinical evaluation, perioperative imaging assessment, surgical process, and perioperative and postoperative long-term management of patients. The specific updates include: refining the responsibilities and composition of the TAVR team, clarifying the steps and content of clinical evaluation; emphasizing the core position of CT in perioperative imaging assessment, and introducing the application of new technologies such as artificial intelligence, numerical simulation, and 3D printing; optimizing the TAVR surgical process, including anesthesia selection, access establishment, valve selection and release, and others; and proposing management strategies for special types of patients (such as emergency TAVR, simplified TAVR, pure aortic regurgitation, combined coronary heart disease and atrial fibrillation). In addition, the consensus also emphasizes the importance of postoperative follow-up and rehabilitation, and provides detailed antithrombotic and rehabilitation guidance. The update of this consensus will further promote the standardized development of TAVR technology in China and improve clinical treatment effects.
The “Expert consensus on the standardized procedure of selective internal radiation therapy with yttrium-90 microspheres for liver malignancies (2024 edition)” is China’s first comprehensive technical guideline document on yttrium-90 microsphere selective internal radiation therapy (90Y-SIRT), developed collaboratively by domestic experts in interventional radiology, hepatobiliary surgery, nuclear medicine, and other related fields. This consensus systematically outlines the standardized requirements for the entire process of 90Y-SIRT, including patient selection, preoperative assessment, dosage calculation, procedural techniques, and postoperative management. This section provides an in-depth interpretation of the consensus's core elements, with a focus on analyzing its innovations and differences compared to international guidelines and previous domestic practices. It highlights the consensus’s guiding value in promoting the safe, standardized, and efficient implementation of this technology in China, offering a reference for clinical practice to physicians across multiple disciplines, including hepatobiliary surgery, interventional radiology, medical oncology, and nuclear medicine, etc.