术前心脏计算机断层扫描的附加价值在计划左前庭关闭时使用Watchman FLX设备
Joseph Kassab1, Shady Nakhla1, Rhonda L Miyasaka1
1Heart, Vascular, and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Structural heart : the journal of the Heart Team
|September 25, 2023
概括
心脏计算机断层扫描 (CCT) 有助于规划左心房尾关闭手术. CCT有助于评估患者的适应性,设备选择和复杂的解剖学,特别是在使用3D内心心回声学时.
科学领域:
- 心血管成像 - 心血管成像
- 干预性心脏病学 干预性心脏病学
背景情况:
- 左心房尾关闭是预防中风的一个关键策略.
- 心脏计算机断层扫描 (CCT) 提供了详细的解剖洞察力.
- 3D内心心回声学 (3D-ICE) 正在成为程序指南.
研究的目的:
- 要突出CCT在左心房附属体关闭的程序前规划中的作用.
- 在设备选择和解剖学评估中详细介绍特定的CCT应用.
- 为了强调CCT与3D-ICE结合的价值.
主要方法:
- 在左心房附属体关闭计划中审查CCT应用.
- 分析CCT对设备尺寸和解剖评估的贡献.
- 通过食管回声心脏学和3D-ICE进行CCT实用性的比较.
主要成果:
- CCT是评估排除标准和设备适用性的一个有价值的工具.
- CCT有助于规划具有挑战性的解剖学和跨septal刺穿.
- 程序前的CCT可以弥补3D-ICE的较低分辨率.
结论:
- CCT是左心房附属体关闭的全面程序前规划的组成部分.
- 优化CCT的利用可以提高程序的安全性和有效性.
- 在适应3D-ICE等不断发展的成像模式方面,CCT起着至关重要的作用.
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