Alfonso Fernando, Martín Diego, Fernández-Vázquez Felipe
Cardiovascular Institute, San Carlos University Hospital, Madrid, Spain.
J Invasive Cardiol. 2007 May;19(5):E134-6.
Intracardiac echocardiography (ICE) was used in a 17-year-old female with refractory symptoms and hypertrophic obstructive cardiomyopathy (HOCM) to guide alcohol septal ablation. During the procedure ICE readily identified the hypertrophied interventricular septum, the dynamic intraventricular gradient, the systolic anterior motion of the mitral valve and the associated mitral regurgitation. Notably, a perfect match was demonstrated between transthoracic echocardiography and ICE findings regarding contrast location. Potential complications related to this technique and alternative therapeutic strategies are discussed. This report highlights the potential use of ICE to guide procedures of alcohol septal ablation in patients with HOCM.
心腔内超声心动图（ICE）用于一名患有难治性症状的17岁肥厚性梗阻性心肌病（HOCM）女性患者，以指导酒精室间隔消融术。在手术过程中，ICE很容易识别出肥厚的室间隔、动态心室梯度、二尖瓣收缩期前向运动以及相关的二尖瓣反流。值得注意的是，经胸超声心动图和ICE在对比剂位置的发现之间显示出完美匹配。讨论了与该技术相关的潜在并发症和替代治疗策略。本报告强调了ICE在指导HOCM患者酒精室间隔消融手术中的潜在用途。
