术后结构性心脏CT成像:TAVR,TMVR和其他干预措施
Adina Haramati1, Azeem Latib2, Matthew S Lazarus3
1Department of Radiology, New York-Presbyterian/Weill Cornell Medicine, 525 East 68(th) Street, New York, NY 10065, United States of America.
放射科医生需要了解CT成像用于跨导管置换程序. 本综述涵盖了正常和异常发现,包括TAVR,TMVR,TTVR和TPVR后的常见和门特异性并发症.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 透导管门更换正在迅速扩展到所有四个心脏门.
- 超导管大动脉置换 (TAVR) 现在已经超过了手术置换.
- 过导管 mitra (TMVR),三管 (TTVR) 和肺 (TPVR) 门替代品正在积极开发或用于特定条件.
研究的目的:
- 审查通过导管置换的正常和异常的术后CT发现.
- 要突出在术后成像中遇到的常见和门特异性并发症.
- 为放射科医生提供应对意外病例的知识.
主要方法:
- 在接受过导管置换的患者中对手术后CT成像的审查.
- 对正常设备外观和潜在并发症的分析.
- 根据门类型和接入方式对并发症进行分类.
主要成果:
- 常见的并发症包括设备迁移,膜漏水和叶片血栓形成.
- 特定于门的并发症包括冠状动脉封闭 (TAVR),压缩 (TPVR) 和LVOT阻塞 (TMVR).
- 与访问相关的并发症也是一个重大问题.
结论:
- 放射科医生需要对跨导管置换成像进行详细的了解,才能准确地解释CT扫描.
- 了解潜在的术后症状和并发症对于患者管理至关重要.
- 本综述提供了一个全面的指南,以导航这些复杂的案件.
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