Cleveland Clinic, Imaging Institute and Heart & Vascular Institute, OH 44195, USA.
Curr Cardiol Rep. 2013 Jan;15(1):319. doi: 10.1007/s11886-012-0319-1.
Degenerative aortic stenosis (AS) is a common valvular pathology in developed nations. Secondary to advanced age and often multiple co-morbidities, a significant percentage of patients are not considered surgical candidates. For these high-risk patients, transcatheter aortic valve replacement (TAVR) is a rapidly emerging less-invasive treatment alternative. Because of the lack of direct exposure and visualization of the operative field, pre-procedural planning and intra-procedural guidance relies on imaging. Large 3-dimensional data files are acquired, which are reconstructed on advanced workstations during review and interpretation. Optimally, the imaging data is organized into a comprehensive digital file as an integral part of the electronic health record (EHR) following the patient. This manuscript will discuss the role of image data management in the context of TAVR.
退行性主动脉瓣狭窄（AS）是发达国家常见的瓣膜病。由于年龄较大且常伴有多种合并症，很大一部分患者不符合手术条件。对于这些高危患者，经导管主动脉瓣置换术（TAVR）是一种新兴的微创治疗选择。由于缺乏对手术区域的直接暴露和可视化，术前规划和术中引导依赖于影像学。采集大量的三维数据文件，在审查和解释过程中在高级工作站上进行重建。理想情况下，将影像学数据作为电子健康记录（EHR）的一部分进行综合数字化处理，以便随患者携带。本文将讨论在 TAVR 背景下图像数据管理的作用。
