在不使用光镜的情况下,以心声学为指导的皮肤对膜合体泄漏关闭
Kunjing Pang1, Yutong Jiang1, Yaoxing Lu2
1Department of Echocardiography, National Center for Cardiovascular Disease, China, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
JACC. Case reports
|September 26, 2025
概括
这项研究报告了第一个成功关闭膜漏洞 (PVL) 仅使用三维透食管心声学 (3D-TEE) 指导. 这种无光镜的方法为需要PVL治疗的患者提供了可行的替代方案.
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:
- 传统上,通过导管对漏 (PVL) 的关闭依赖于光学.
- 对于某些患者群体和在可用性有限的环境中,光镜成像存在限制.
- 对于PVL关闭,需要使用其他成像方法.
研究的目的:
- 为了介绍PVL闭塞的第一个人体病例,该病例仅使用三维透食管心声学 (3D-TEE) 指导进行.
- 评估PVL关闭的无光学方法的可行性和有效性.
主要方法:
- 通过皮肤关闭膜漏洞 (PVL).
- 仅通过实时三维透食管心声谱 (3D-TEE) 进行指导.
- 在3D-TEE可视化下导管导航和设备部署.
主要成果:
- 在第一个人体病例中,成功关闭了PVL.
- 3D-TEE有效指导了导管导航和装置部署.
- 在术后观察到最佳的临床结果.
结论:
- 使用3D-TEE进行无光镜PVL闭合是可行的.
- 实时3D-TEE指导可实现有效的导管导航和装置部署.
- 这种技术为需要PVL关闭的特定患者提供了潜在的替代方案.
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