Velik-Salchner C, Margreiter J, Wenzel V, Mair P
Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Medizinische Universität, Anichstrasse 35, 6020 Innsbruck, Austria.
Anaesthesist. 2006 Dec;55(12):1291-8. doi: 10.1007/s00101-006-1105-5.
Cardiac catheterization in children with congenital heart disease or in adults with completely or partially corrected cardiac defects, is a growing field of activity for anaesthesiologists. This requires not only the willingness for interdisciplinary co-operation, but also detailed knowledge about the pathophysiology of congenital heart diseases. In interventional paediatric cardiology significant innovations have occurred during recent years including stenting of a patent ductus arteriosus and of peripheral pulmonary artery stenosis. Furthermore, radiofrequency catheter ablation for recurrent tachyarrhythmia, or resynchronisation therapy with biventricular pacing in the setting of congestive heart failure, or implantation of cardioverter defibrillators are increasingly being employed which require anaesthesia support.
对于患有先天性心脏病的儿童或心脏缺陷已完全或部分矫正的成人进行心导管插入术,对麻醉医生来说是一个不断发展的业务领域。这不仅需要跨学科合作的意愿,还需要对先天性心脏病的病理生理学有详细的了解。近年来,小儿介入心脏病学领域出现了重大创新,包括动脉导管未闭和外周肺动脉狭窄的支架置入术。此外,越来越多地采用射频导管消融术治疗复发性快速心律失常,或在充血性心力衰竭情况下采用双心室起搏进行再同步治疗,或植入心脏复律除颤器,这些都需要麻醉支持。