在接受过导管大动脉置换的患者中,穿越食道心电图的当前有用性
Jose Alberto de Agustin1, Eduardo Pozo Osinalde1, Carmen Olmos1
1Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain.
Journal of clinical medicine
|December 23, 2023
概括
过食管回声心脏图 (TEE) 对于过导管大动脉置换 (TAVR) 程序至关重要. 它有助于程序前规划,复杂案件的程序内指导和程序后监控,以确保最佳结果.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预心脏病学 干预心脏病学
背景情况:
- 过导管大动脉置换 (TAVR) 是对大动脉狭窄的一种微创手术.
- 准确的程序前评估和程序内监测对于TAVR的成功至关重要.
- 经食道心声学 (TEE) 提供了详细的心脏成像.
研究的目的:
- 审查TAVR患者TEE的实用性.
- 突出TEE在程序前规划,程序内指导和程序后监督中的作用.
主要方法:
- 关于TAVR中TEE的当前文献和临床实践的审查.
- 强调3D-TEE用于形态和环形评估.
- 讨论TEE在复杂的TAVR场景中的应用和并发症检测.
主要成果:
- 3D-TEE准确地评估了大动脉形态和环,有助于假肢大小,特别是当CT不足最佳时.
- 对于复杂的病例 (化,双门,机械 mitra 假肢,门内) 来说,TEE 是必不可少的.
- 在检测和量化膜回和即时并发症 (栓塞,剖析,假肢迁移,冠状动脉妥协) 方面,TEE非常出色.
结论:
- 在程序前规划,指导复杂的TAVR干预和检测即时并发症方面,TEE是无价的.
- TEE对于评估膜回和指导扩张后决策至关重要.
- TEE对于长期随访,监测假肢功能和排除血栓形成或内心炎等并发症非常有用.
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