超声心动图引导下的诊断和治疗性经皮操作。
Echocardiographic guidance for diagnostic and therapeutic percutaneous procedures.
机构信息
Cedars Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USA.
出版信息
Cardiovasc Diagn Ther. 2011 Dec;1(1):11-36. doi: 10.3978/j.issn.2223-3652.2011.09.02.
Abstract
Echocardiographic guidance has an important role in percutaneous cardiovascular procedures and vascular access. The advantages include real time imaging, portability, and availability, which make it an effective imaging modality. This article will review the role of echocardiographic guidance for diagnostic and therapeutic percutaneous procedures, specifically, transvenous and transarterial access, pericardiocentesis, endomyocardial biopsy, transcatheter pulmonary valve replacement, pulmonary valve repair, transcatheter aortic valve implantation, and percutaneous mitral valve repair. We will address the ways in which echocardiographic guidance provides these procedures with detailed information on anatomy, adjacent structures, and intraprocedural instrument position, thus resulting in improvement in procedural efficacy, safety and patient outcomes.
摘要
超声心动图引导在经皮心血管操作和血管入路中具有重要作用。其优点包括实时成像、便携性和可用性，使其成为一种有效的成像方式。本文将回顾超声心动图引导在诊断和治疗性经皮操作中的作用，特别是经静脉和经动脉入路、心包穿刺术、心肌活检、经导管肺动脉瓣置换术、肺动脉瓣修复术、经导管主动脉瓣植入术和经皮二尖瓣修复术。我们将讨论超声心动图引导如何为这些操作提供详细的解剖结构、毗邻结构和术中器械位置信息，从而提高操作的效果、安全性和患者预后。
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