Hascoët Sebastien, Warin-Fresse Karine, Baruteau Alban-Elouen, Hadeed Khaled, Karsenty Clement, Petit Jérôme, Guérin Patrice, Fraisse Alain, Acar Philippe
M3C Marie-Lannelongue Hospital, Department of Paediatric and Congenital Cardiac Surgery, Paris-Sud University, Paris, France; M3C CHU Toulouse, Paediatric and Congenital Cardiology, Children's Hospital, Paul-Sabatier University, Toulouse, France.
M3C CHU Nantes, Nord Laennec Hospital, Nantes, France.
Arch Cardiovasc Dis. 2016 Feb;109(2):128-42. doi: 10.1016/j.acvd.2015.11.011. Epub 2016 Feb 5.
Cardiac catheterization has contributed to the progress made in the management of patients with congenital heart disease (CHD). First, it allowed clarification of the diagnostic assessment of CHD, by offering a better understanding of normal cardiac physiology and the pathophysiology and anatomy of complex malformations. Then, it became an alternative to surgery and a major component of the therapeutic approach for some CHD lesions. Nowadays, techniques have evolved and cardiac catheterization is widely used to percutaneously close intracardiac shunts, to relieve obstructive valvar or vessel lesions, and for transcatheter valve replacement. Accurate imaging is mandatory to guide these procedures. Cardiac imaging during catheterization of CHD must provide accurate images of lesions, surrounding cardiac structures, medical devices and tools used to deliver them. Cardiac imaging has to be 'real-time' with an excellent temporal resolution to ensure 'eyes-hands' synchronization and 'device-target area' accurate positioning. In this comprehensive review, we provide an overview of conventional cardiac imaging tools used in the catheterization laboratory in daily practice, as well as the effect of recent evolution and future imaging modalities.
心导管检查术推动了先天性心脏病（CHD）患者治疗的进展。首先，它通过让人们更好地理解正常心脏生理学以及复杂畸形的病理生理学和解剖结构，使CHD的诊断评估得以明确。其次，它成为了手术的替代方法，并且是某些CHD病变治疗方法的主要组成部分。如今，技术不断发展，心导管检查术被广泛用于经皮闭合心内分流、缓解瓣膜或血管阻塞性病变以及进行经导管瓣膜置换。精确成像对于指导这些操作至关重要。CHD导管检查期间的心脏成像必须提供病变、周围心脏结构、医疗设备以及用于输送这些设备的工具的精确图像。心脏成像必须具有“实时性”以及出色的时间分辨率，以确保“眼-手”同步和“设备-目标区域”的精确定位。在这篇综述中，我们概述了日常实践中导管室使用的传统心脏成像工具，以及近期技术发展和未来成像模式的影响。
