Hudson Paul A, Eng Marvin H, Kim Michael S, Quaife Robert A, Salcedo Ernesto E, Carroll John D
Division of Cardiology, University of Colorado Denver, Aurora, Colorado 80045, USA.
J Interv Cardiol. 2008 Dec;21(6):535-46. doi: 10.1111/j.1540-8183.2008.00410.x. Epub 2008 Oct 28.
Percutaneous techniques to treat structural heart disease are rapidly evolving based on innovative interventions and the considerable advancement in image guidance technology. While two-dimensional transthoracic and transesophageal echocardiography have been integral to procedural planning and execution, intracardiac and three-dimensional echocardiography supply unique visualization of target structures with a potential improvement in patient safety and procedural efficacy. The choice of image guidance modality is based on specific differences between imaging systems, as well as other variables including cost, patient safety, operator expertise, and complexity of procedure. We will compare the adjunctive imaging tools for structural heart disease interventions, with a focus on intracardiac echocardiography and real-time three-dimensional transesophageal echocardiography.
基于创新干预措施和图像引导技术的显著进步，治疗结构性心脏病的经皮技术正在迅速发展。虽然二维经胸和经食管超声心动图一直是手术规划和实施不可或缺的手段，但心内和三维超声心动图能提供目标结构的独特可视化，有望提高患者安全性和手术效果。图像引导方式的选择基于成像系统之间的特定差异，以及其他变量，包括成本、患者安全、术者专业技能和手术复杂性。我们将比较用于结构性心脏病干预的辅助成像工具，重点关注心内超声心动图和实时三维经食管超声心动图。
