Grant Elena K, Olivieri Laura J
Division of Cardiology, Children's National Medical Center, Washington, District of Columbia, USA.
Division of Cardiology, Children's National Medical Center, Washington, District of Columbia, USA.
Can J Cardiol. 2017 Sep;33(9):1074-1081. doi: 10.1016/j.cjca.2017.02.009. Epub 2017 Feb 24.
Percutaneous interventions aimed at addressing congenital and structural heart disease are simultaneously becoming more common and more complex as time progresses. An increasing number of heart defects that had previously required open heart surgery can now be successfully addressed in the cardiac catheterization laboratory. Adequate preprocedural preparation for these novel, complex procedures is critical to ensure their success. Diagnostic data can be collected before the intervention and displayed in multiple formats during the procedure. Advanced cardiac imaging, including cardiac magnetic resonance and cardiac computed tomography form the basis of this preparatory information. Novel methods of displaying these images are becoming more widespread and more useful, including 3-D printed models, 3-D digital models displayed on a virtual or augmented reality system and 3-D digital models overlaid onto a fluoroscopy system. In this review we summarize these state-of-the-art technologies and how they are able to help interventional cardiologists push the boundaries of what is possible in the cardiac catheterization laboratory.
随着时间的推移，旨在治疗先天性和结构性心脏病的经皮介入治疗正变得越来越普遍，也越来越复杂。越来越多以前需要进行心脏直视手术的心脏缺陷现在可以在心脏导管实验室中成功解决。对于这些新颖、复杂的手术，充分的术前准备对于确保其成功至关重要。可以在介入治疗前收集诊断数据，并在手术过程中以多种格式显示。先进的心脏成像技术，包括心脏磁共振成像和心脏计算机断层扫描，构成了这些准备信息的基础。显示这些图像的新方法正变得越来越普遍且更有用，包括3D打印模型、在虚拟或增强现实系统上显示的3D数字模型以及叠加在荧光透视系统上的3D数字模型。在这篇综述中，我们总结了这些最先进的技术，以及它们如何能够帮助介入心脏病学家突破心脏导管实验室的可能性边界。
