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在结构性心脏病介入治疗中使用EchoNavigator(®)系统的初步临床经验。

Initial clinical experience using the EchoNavigator(®)-system during structural heart disease interventions.

作者信息

Balzer Jan, Zeus Tobias, Hellhammer Katharina, Veulemans Verena, Eschenhagen Silke, Kehmeier Eva, Meyer Christian, Rassaf Tienush, Kelm Malte

机构信息

Jan Balzer, Tobias Zeus, Katharina Hellhammer, Verena Veulemans, Silke Eschenhagen, Eva Kehmeier, Christian Meyer, Tienush Rassaf, Malte Kelm, Division of Cardiology, Pneumology and Angiology, Department of Medicine, University Hospital Duesseldorf, 40225 Duesseldorf, Germany.

出版信息

World J Cardiol. 2015 Sep 26;7(9):562-70. doi: 10.4330/wjc.v7.i9.562.

DOI:10.4330/wjc.v7.i9.562
PMID:26413233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4577683/
Abstract

AIM

To present our initial clinical experience using this innovative software solution for guidance of percutaneous structural heart disease interventions.

METHODS

Left atrial appendage, atrial septal defect and paravalvular leak closure, transaortic valve repair and MitraClip(®) procedures were performed in the catheter laboratory under fluoroscopic and echocardiographic guidance. The two-dimensional and three-dimensional images generated by the transesophageal echocardiography probe were interfaced with the fluoroscopic images in real-time using the EchoNavigator(®)-system.

RESULTS

The application of the novel image fusion technology was safe and led to a better appreciation of multimodality imaging guidance due to improved visualization of the complex relationship between catheter devices and anatomical structures.

CONCLUSION

The EchoNavigator(®)-system is a feasible and safe tool for guidance of interventional procedures in structural heart disease. This innovative technology may improve confidence of interventional cardiologists in targeting and positioning interventional devices in order to increase safety, accuracy, and efficacy of percutaneous interventions in the catheter laboratory.

摘要

目的

介绍我们使用这种创新软件解决方案指导经皮结构性心脏病介入治疗的初步临床经验。

方法

在荧光透视和超声心动图引导下，于导管室进行左心耳、房间隔缺损及瓣周漏封堵、经主动脉瓣修复和MitraClip（®）手术。经食管超声心动图探头生成的二维和三维图像通过EchoNavigator（®）系统与荧光透视图像实时对接。

结果

新型图像融合技术的应用是安全的，且由于改善了导管装置与解剖结构之间复杂关系的可视化，从而能更好地理解多模态成像引导。

结论

EchoNavigator（®）系统是指导结构性心脏病介入手术的一种可行且安全的工具。这项创新技术可能会增强介入心脏病学家在靶向和定位介入装置方面的信心，从而提高导管室经皮介入治疗的安全性、准确性和有效性。

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