在过导管大动脉植入后对生物假体门功能障碍的成像
Louhai Alwan1, Benedikt Bernhard1, Nicolas Brugger1
1Department of Cardiology, Inselspital, University of Bern, 3010 Bern, Switzerland.
Diagnostics (Basel, Switzerland)
|June 10, 2023
概括
通过导管的大动脉植入 (TAVI) 需要长期监测生物假体的耐用性. 本综述探讨了TAVI后诊断功能障碍的先进成像技术.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 过导管大动脉植入 (TAVI) 是高风险老年患者严重大动脉狭窄的标准.
- 将TAVI的使用扩展到较低风险人群中,需要了解长期生物假体门的耐用性.
- 在TAVI后诊断生物假体门功能障碍是具有挑战性的,因为病理重叠.
研究的目的:
- 审查成像模式在监测跨导管心脏门完整性的作用.
- 讨论生物假肢评估当前和未来成像技术的优点和局限性.
主要方法:
- 审查当代和未来的成像模式的角色.
- 专注于心声扫描,心脏计算机断层扫描,血管扫描,心脏磁共振成像和正子发射断层扫描.
- 对生物假体门功能障碍的诊断挑战的分析.
主要成果:
- 有限的基于证据的标准存在,用于诊断生物假体门功能障碍.
- 区分结构的恶化,非SVD,血栓和传染性内心炎是复杂的.
- 成像模式为监测门完整性提供了多种功能.
结论:
- 对生物假体门功能障碍的准确诊断对于TAVI后的指导治疗至关重要.
- 先进的成像技术对于评估长期跨导管心脏的性能至关重要.
- 需要进一步的研究来完善诊断标准和优化成像协议.
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