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欧洲心胸外科学会(EAE)/美国超声心动图学会(ASE)关于超声心动图在心脏瓣膜病新经导管介入治疗中应用的建议。

EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease.

作者信息

Zamorano Jose L, Badano Luigi P, Bruce Charles, Chan Kwan-Leung, Gonçalves Alexandra, Hahn Rebecca T, Keane Martin G, La Canna Giovanni, Monaghan Mark J, Nihoyannopoulos Petros, Silvestry Frank E, Vanoverschelde Jean-Louis, Gillam Linda D, Vahanian Alec, Di Bello Vito, Buck Thomas

机构信息

University Clinic San Carlos, Madrid, Spain.

出版信息

Eur J Echocardiogr. 2011 Aug;12(8):557-84. doi: 10.1093/ejechocard/jer086.

Abstract

The introduction of devices for transcatheter aortic valve implantation, mitral repair, and closure of prosthetic paravalvular leaks has led to a greatly expanded armamentarium of catheter-based approaches to patients with regurgitant as well as stenotic valvular disease. Echocardiography plays an essential role in identifying patients suitable for these interventions and in providing intra-procedural monitoring. Moreover, echocardiography is the primary modality for post-procedure follow-up. The echocardiographic assessment of patients undergoing transcatheter interventions places demands on echocardiographers that differ from those of the routine evaluation of patients with native or prosthetic valvular disease. Consequently, the European Association of Echocardiography in partnership with the American Society of Echocardiography has developed the recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. It is intended that this document will serve as a reference for echocardiographers participating in any or all stages of new transcatheter treatments for patients with valvular heart disease.

摘要

经导管主动脉瓣植入、二尖瓣修复及人工瓣膜瓣周漏封堵装置的引入,极大地扩充了基于导管的治疗手段,可用于治疗反流性及狭窄性瓣膜病患者。超声心动图在识别适合这些干预措施的患者以及提供术中监测方面发挥着至关重要的作用。此外,超声心动图是术后随访的主要方式。对接受经导管介入治疗的患者进行超声心动图评估,对超声心动图检查人员的要求与对原发性或人工瓣膜病患者进行常规评估的要求有所不同。因此,欧洲超声心动图协会与美国超声心动图学会合作,制定了关于在瓣膜性心脏病新的经导管介入治疗中使用超声心动图的建议。本文件旨在为参与瓣膜性心脏病患者新的经导管治疗任何或所有阶段的超声心动图检查人员提供参考。

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