Pighi Michele, Asgar Anita W
Department of Medicine, Montreal Heart Institute, Universite de Montreal, 5000 Rue Bélanger, Montreal, Quebec H1T 1C8, Canada.
Department of Medicine, Montreal Heart Institute, Universite de Montreal, 5000 Rue Bélanger, Montreal, Quebec H1T 1C8, Canada.
Interv Cardiol Clin. 2017 Jul;6(3):319-327. doi: 10.1016/j.iccl.2017.03.003. Epub 2017 Apr 25.
In the current era, diagnosis and follow-up of valvular heart disease is performed noninvasively using echocardiography. In some cases, the results of echocardiographic evaluation are inconclusive or discrepant with the patient's clinical symptoms. In such cases, a well-planned and executed cardiac catheterization is invaluable to clarify the clinical dilemma and assist in planning further management. This article reviews the indications, technique, and interpretation of cardiac catheterization in the setting of valvular stenosis and regurgitation.
在当今时代，采用超声心动图对心脏瓣膜病进行无创诊断和随访。在某些情况下，超声心动图评估结果不明确或与患者临床症状不符。在此类情况下，精心规划并实施的心脏导管插入术对于明确临床困境及协助制定进一步治疗方案具有重要价值。本文综述了心脏导管插入术在瓣膜狭窄和反流情况下的适应证、技术及解读。
