Division of Cardiology, Keck School of Medicine, University of Southern California, Los Angeles, 90033, USA.
Cardiol Clin. 2013 Aug;31(3):441-54. doi: 10.1016/j.ccl.2013.04.004. Epub 2013 Jun 17.
Echocardiography plays an integral role in the evaluation and treatment of patients undergoing percutaneous interventions for structural heart disease. Preprocedure, accurate echocardiographic assessment of cardiac anatomy is crucial in determining patient eligibility. During catheterization, echocardiography is used for procedural guidance. Postprocedure, echocardiography is used for patient follow-up and determining the effect of device placement on cardiac remodeling. This article provides a practical guide for using echocardiography in common interventional procedures, including percutaneous atrial septal defect closure, transcatheter aortic valve replacement, percutaneous repair of prosthetic valve paravalvular leaks, percutaneous mitral valve edge-to-edge repair, and percutaneous placement of appendage occlusion devices.
超声心动图在经皮介入结构性心脏病患者的评估和治疗中发挥着重要作用。在术前，准确的超声心动图评估心脏解剖结构对于确定患者的适应证至关重要。在导管介入过程中，超声心动图用于指导手术。术后，超声心动图用于患者随访，并确定器械放置对心脏重构的影响。本文提供了在常见介入手术中使用超声心动图的实用指南，包括经皮房间隔缺损封堵术、经导管主动脉瓣置换术、经皮人工瓣膜瓣周漏修补术、经皮二尖瓣瓣环成形术和经皮放置心耳封堵装置。
