结构性心脏手术的心内回声指南:与食管外回声相比,目前的实用性
Carter W English1, Jason H Rogers1, Thomas W Smith1
1Division of Cardiovascular Medicine, Department of Internal Medicine, University of California - Davis Medical Center, 4860 Y Street, Suite 2820, Sacramento, CA 95817, USA.
Interventional cardiology clinics
|November 18, 2023
概括
心内回声学 (ICE) 的进步加强了对心脏结构干预的指导,如左心房附属体和心心门手术. 由于患者的解剖学,当输食管回声心电图 (TEE) 不可能实现时,ICE是至关重要的.
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:
- 在过去的十年中,工程技术的进步显著改善了心内心电回声学 (ICE).
- ICE越来越多地用于指导各种结构性心脏干预.
研究的目的:
- 突出ICE在结构性心脏干预中的不断变化的作用和能力.
- 强调ICE作为一个有价值的工具,当 transesophageal心声学 (TEE) 是有限的.
主要方法:
- 对ICE技术的工程进步进行审查.
- 分析ICE在心房间隔膜,左心房附属物,三管和 mitra手术中的应用.
- 案例例,ICE因TEE限制而促进干预.
主要成果:
- ICE有效指导复杂的结构性干预,包括左心房附属体,三管和中心门手术.
- 当TEE在解剖学上是禁忌时,ICE提供了一个安全有效的替代方案.
- 在低于最佳的成像场景中,ICE补充了TEE.
结论:
- 在现代结构性心脏干预中,ICE正变得不可或缺.
- 由ICE提供的心内视角对于在具有挑战性的解剖学中程序成功至关重要.
- 对于特定的结构性干预措施,ICE将在增加或取代TEE方面发挥越来越大的作用.
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