Department of Cardiovascular Disease, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
JACC Cardiovasc Imaging. 2012 Jul;5(7):733-46. doi: 10.1016/j.jcmg.2012.03.010.
Intraprocedural imaging continues to evolve in parallel with advances in percutaneous mitral valve interventions. This didactic review uses several illustrations and rich intraprocedural videos to further describe and demonstrate the role of the most up-to-date echocardiographic and advanced imaging technologies in the patient selection and intraprocedural guidance of percutaneous mitral valve interventions. We will focus on 3 interventions: 1) percutaneous balloon mitral valvuloplasty for mitral stenosis; 2) transcatheter edge-to-edge repair of mitral valve regurgitation; and 3) transcatheter closure of periprosthetic mitral regurgitation. In addition, we discuss potential pitfalls of 3-dimensional transesophageal echocardiography and show examples of this technique.
随着经皮二尖瓣介入治疗的进展，术中影像学也在不断发展。本教学综述使用了多个插图和丰富的术中视频，进一步描述和演示了最新的超声心动图和先进成像技术在经皮二尖瓣介入治疗患者选择和术中指导中的作用。我们将重点介绍 3 种介入治疗方法：1. 经皮球囊二尖瓣成形术治疗二尖瓣狭窄；2. 二尖瓣瓣环成形术治疗二尖瓣反流；3. 经导管二尖瓣瓣周漏封堵术。此外，我们还讨论了三维经食管超声心动图的潜在陷阱，并展示了该技术的实例。
