SCAI关于心内心声谱指导结构性心脏病干预的立场声明
Mackram F Eleid1, Christine J Chung2, Matthew J Daniels3
1Mayo Clinic, Rochester, Minnesota.
概括
心内回声心脏成像 (ICE) 提供实时心脏成像,用于最小侵入性结构性心脏手术,增强无需全身麻醉的可视化. 该指南有助于对各种干预措施的ICE协议进行标准化,并促进其更广泛的采用.
科学领域:
- 心血管医学 心血管医学
- 医学成像医学成像
- 干预性心脏病学 干预性心脏病学
背景情况:
- 结构性心脏病干预正在迅速发展.
- 最少侵入性技术需要有效的手术内成像.
- 心内回声心脏成像 (ICE) 提供实时,高分辨率的心脏可视化,无需全身麻醉.
研究的目的:
- 提供关于ICE在跨导管结构性心脏病干预中使用的立场声明.
- 概述ICE的临床应用,优势,局限性和实施策略.
- 详细介绍标准化的ICE成像协议和特定程序的视图.
主要方法:
- 心血管血管血管学与干预协会制定了一份立场声明.
- 该声明回顾了现有的文献和专家的共识.
- 详细介绍了各种结构性干预措施的标准化协议和观点.
主要成果:
- ICE 是指导透导管结构性心脏干预的宝贵工具.
- 介绍了对心肌,三管,肺干预,LAA阻塞,ASD和PFO闭合的标准化方案.
- 操作员培训,工作流集成和机构准备对于成功实施ICE至关重要.
结论:
- ICE集成需要全面的规划,包括培训和工作流的优化.
- 需要更新的报销模型,以反映ICE指导程序的价值.
- 建议进行进一步的研究,以比较ICE与跨食道心声图的结果.
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