Thériault-Lauzier Pascal, Spaziano Marco, Vaquerizo Beatriz, Buithieu Jean, Martucci Giuseppe, Piazza Nicolo
McGill University Health Centre, Montreal, Quebec, Canada.
German Heart Centre Munich, Munich, Germany.
Interv Cardiol. 2015 Sep;10(3):149-154. doi: 10.15420/ICR.2015.10.03.149.
Transcatheter cardiac interventions are a fast evolving field. The past decade has seen the development of transcatheter aortic valve replacement, transcatheter mitral valve repair and replacement, septal defect closure devices and left atrial appendage closure devices for thromboprophylaxis. More than ever, medical imaging is taking a central role in the care of patients with structural heart disease. In this review article we outline the use of MSCT as a tool for diagnosis of structural heart interventions, as well as patient selection, pre-procedural planning, device sizing and post-procedural assessment. We focus on procedures targeting the aortic valve, the mitral valve, the inter-atrial septum and the left atrial appendage.
经导管心脏介入治疗是一个快速发展的领域。在过去十年中，经导管主动脉瓣置换术、经导管二尖瓣修复和置换术、房间隔缺损封堵装置以及用于预防血栓形成的左心耳封堵装置都得到了发展。医学成像在结构性心脏病患者的治疗中发挥着前所未有的核心作用。在这篇综述文章中，我们概述了多层螺旋CT（MSCT）作为诊断结构性心脏介入治疗的工具的应用，以及患者选择、术前规划、器械尺寸确定和术后评估。我们重点关注针对主动脉瓣、二尖瓣、房间隔和左心耳的手术。
