实时3D食管横断心电图用于放置心室内关节:一个案例系列和技术说明
Jason Chui1, Keith MacDougall2, Wai Ng2
1Departments of Anesthesia & Perioperative Medicine.
Journal of neurosurgical anesthesiology
|January 18, 2024
概括
结合2D超声波和3D食管横断心声学 (TEE) 进行心室内腔 (VA) 突变位的放置,与光镜相比,大大减少了手术时间. 这种方法提供了一种更安全,更有效的方法来管理头.
科学领域:
- 神经外科 神经外科
- 医疗成像医学成像
- 麻醉学 麻醉学
背景情况:
- 在其他方法失败时,心室心腔 (VA) 突变控制脑水症.
- 在VA分流器中放置远距离导管在技术上是具有挑战性的.
- 进行光学指导和转食道心声学 (TEE) 指导的技术进行了辩论.
研究的目的:
- 为了比较2D超声波引导的内静脉导管与3DTEE引导的远程VA分流器安置的有效性,与传统的光学引导技术相比.
- 为了评估程序的时间,安全性和精度.
主要方法:
- 对10名患者进行的18次VA分流插入手术的回顾性审查.
- 使用2D超声波用于内静脉接入和3DTEE用于远距离导管放置.
- 结果与光学指导程序进行比较.
主要成果:
- 结合2D超声波和3DTEE技术,手术时间平均减少了22分钟 (91分钟与113分钟相比).
- 在这两种技术中都没有报告任何并发症.
- 患者的平均年龄为50岁,BMI为35岁,并且之前的位已经失败.
结论:
- 组合的2D超声波和3DTEE是可行的,高效的,并安全的VA冲插入.
- 这种技术允许更快的程序和精确的导管确认.
- 3D TEE 可反复确认远端导管位置,从而有可能提高患者的安全性.
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