通过心脏内回声造影来关闭心房间隔膜缺陷的跨导管闭合:一个双中心的回顾性研究
Katya Lucarelli1, Tommaso Acquaviva2, Paolo Ferrero3
1Department of Cardiology, 'F. Miulli' Hospital, Acquaviva delle Fonti.
Journal of cardiovascular medicine (Hagerstown, Md.)
|March 15, 2024
概括
心内回声心脏成像 (ICE) 指导闭塞心房隔膜缺陷 (ASDs) 是安全有效的. 这种技术可以成为通过导管关闭心室间通讯的常规黄金标准.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 前庭隔膜缺陷 (ASD) 是一种常见的先天性心脏病.
- 穿皮关闭是ASD的标准治疗方法.
- 心内回声心脏成像 (ICE) 提供实时的手术内成像.
研究的目的:
- 评估ICE指导的ASD关闭的经验和长期结果.
- 评估ICE作为常规实践中的黄金标准的系统适用性.
主要方法:
- 对66名接受皮肤穿ASD关闭的患者的回顾性分析 (2008年3月至2020年2月).
- 以光镜和ICE为指导的程序,包括手术前的透食管心声学 (TEE).
- 每1,3,12个月进行后续检查,每两年进行一次电话评估.
主要成果:
- 在某些情况下,ICE在程序内测量细化了缺陷直径测量.
- 在大多数患者中成功完成关闭,只有少数患者需要更大的设备或多个设备用于多个缺陷.
- 没有与ICE使用相关的重大并发症;一个设备迁移成功检索.
- 四名患者有无意义的残留分流,在随访期间没有重大并发症.
结论:
- 皮肤穿透ASD关闭期间的ICE监测是耐受和有效的.
- ICE可以被系统地实施,作为通过导管关闭心间通讯的常规黄金标准.
相关概念视频
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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
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