使用nuvision 4D内心心回声心脏学导管用于左心房附属物闭合的现实世界经验
Alex Adams1, Riaz Mahmood2, Nivedha Balaji2
1Graduate Medical Education, Cardiovascular Disease Fellowship, Northeast Georgia Medical Center, 743 Spring Street NE, Suite 710, 30501, Gainesville, GA, Georgia. alex.adams2@nghs.com.
Scientific reports
|May 24, 2024
概括
4D心内回声学 (ICE) 的安全性和疗效与食管内回声学 (TEE) 的安全性和疗效相提并论,用于左心房附属体的关闭,并缩短了手术时间.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 干预程序 干预程序
背景情况:
- 过食管回声心电图 (TEE) 是用于左心房附属体 (LAA) 关闭的标准成像.
- 4D心内回声学 (ICE) 提供实时3D心脏成像.
- 在LAA关闭方面,TEE和4D ICE之间缺乏直接比较.
研究的目的:
- 用Watchman FLX和 Amulet设备评估LAA关闭的性能和安全性.
- 为了比较4D ICE和TEE之间的程序成像指导.
主要方法:
- 对LAAO国家心血管数据注册局 (2022年1月 - 2023年3月) 的回顾性观察分析.
- 患者使用Watchman FLX或 Amulet设备进行LAA关闭,由TEE或4D ICE指导.
- 主要结果:成功放置LAAO设备.
主要成果:
- 包括121名患者;46人 (38.0%) 遵循4D ICE.
- 与TEE相比,4D ICE组的程序时间较短.
- 设备植入成功或45天后的术后结果 (不完全关闭,周围设备泄漏>5mm) 没有显著差异.
- 在任何一组中都没有观察到与设备相关的并发症 (访问,中风,心周溢出).
结论:
- 4D ICE是TEE的安全有效替代品,用于指导LAA关闭程序.
- 4D ICE 显示了提高程序效率的潜力.
- 进一步的研究可能会巩固4D ICE在LAA关闭中的作用.
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