The Duke Children's Heart Program, Duke University Medical Center, Room 7502D-Duke Hospital North, Durham, NC 27710, USA.
J Cardiovasc Transl Res. 2009 Mar;2(1):19-23. doi: 10.1007/s12265-009-9088-7. Epub 2009 Jan 23.
The use of intracardiac echocardiography (ICE) in congenital heart disease has become well established over the past 7 years since its introduction into clinical imaging. The greatest experience has been to guide percutaneous device closures of secundum atrial septal defects and patent foramen ovale, with excellent safety and clinical results. However, ICE has also been used for the evaluation and management of many other congenital heart defects given its unique blood/transducer interface and close proximity to relevant cardiac anatomy. Clinical application of ICE is expanding, with the current ICE catheters being used as micro-transesophageal echo probes, and three-dimensional prototypes already developed and tested in animal models. It is expected that ICE will further increase in use with refinements in technology and greater operator experience, aiding the management of complex congenital heart disease.
在过去的 7 年中，随着其在临床成像中的引入，心内超声心动图（ICE）在先天性心脏病中的应用已经得到了很好的确立。最大的经验是指导经皮器械闭合继发房间隔缺损和卵圆孔未闭，具有极好的安全性和临床效果。然而，由于其独特的血液/换能器界面和与相关心脏解剖结构的紧密接近，ICE 也已用于许多其他先天性心脏病的评估和管理。随着当前 ICE 导管被用作微型经食管超声探头，以及已经在动物模型中开发和测试的三维原型，ICE 的临床应用正在扩大。预计 ICE 的使用将随着技术的改进和操作人员经验的增加而进一步增加，从而有助于复杂先天性心脏病的治疗。
