University Clinic San Carlos, Madrid, Spain.
Eur Heart J. 2011 Sep;32(17):2189-214. doi: 10.1093/eurheartj/ehr259.
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.
经导管主动脉瓣植入术、二尖瓣修复术和人工瓣周漏封堵术的应用，为反流性和狭窄性瓣膜病患者提供了更多的经导管治疗选择。超声心动图在识别适合这些介入治疗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手段。经导管介入治疗患者的超声心动图评估对超声心动图医师提出了不同于常规评估自身瓣膜病或人工瓣膜病患者的要求。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超声心动图在治疗瓣膜性心脏病的新经导管介入技术中的应用建议。本文件旨在为参与瓣膜性心脏病患者新经导管治疗的任何阶段或所有阶段的超声心动图医师提供参考。
