前庭活检的可行性和安全性 - - 1000例病例的证据
Toyokazu Otsubo1,2, Kodai Shinzato1, Takanori Yamaguchi1
1Department of Cardiovascular Medicine, Saga University Saga Japan.
Circulation reports
|September 11, 2025
概括
以心声导向心房活检为获得心脏组织的安全和可行的程序. 诸如较大的心房和较小的仪器等因素可能会限制心肌样本采集的成功.
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:
- 前庭活检存在技术上的挑战,因为前庭壁很薄,内心脏很厚.
- 以前的方法缺乏一致的可行性和安全性.
研究的目的:
- 为了评估心声学引导的心房活检的可行性和安全性.
- 确定影响成功获得心肌组织的因素.
主要方法:
- 一组1000名接受了导管切除或LA尾闭塞的患者进行了心房活检.
- 活检的指导是心内或食道内心声谱,使用5.5-Fr或7.0-Fr活检.
- 组织学分析评估了组织深度,将活检分类为内心仅或超内心组.
主要成果:
- 该手术非常成功 (99.6%),没有记录过任何并发症.
- 预测仅内心活检的因素包括较大的左心房体积,使用较小的5.5-Fr生物组和粉样沉积.
- 885名患者除了内心脏外进行了活检,而111名患者仅进行了内心脏活检.
结论:
- 以心声学为指导的心房活检是一种可行且安全的干预技术.
- 成功收集心肌组织受到心房扩大,较小的生物组尺寸和粉样蛋白存在的阻碍.
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