经胸超声心动图在左心耳封堵术中的应用：一步一步的教程。
Intracardiac echography for left atrial appendage closure: A step-by-step tutorial.
机构信息
Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Universidade de Coimbra, Coimbra, Portugal.
出版信息
Catheter Cardiovasc Interv. 2019 Apr 1;93(5):E302-E310. doi: 10.1002/ccd.27898. Epub 2018 Sep 30.
OBJECTIVES
We sought to provide a practical educational tool for the utilization of intracardiac echography (ICE) in the left atrium for the percutaneous closure of the left atrial appendage (LAA).
BACKGROUND
Although transesophageal echocardiography (TEE) is the gold-standard imaging technique for LAA closure, ICE is stepping in to support noncoronary cardiology interventions by improving workflow and case turnover and may be more adequate for frail patients with significant and multiple comorbidities.
METHODS
This article discusses the utility of ICE for LAA closure, its advantages compared to TEE, contraindications to TEE use and offers an extensive illustration of the main steps of the procedure.
CONCLUSIONS
The use of ICE in the left atrium allows a feasible guidance of all steps of the percutaneous closure of LAA.
目的
我们旨在提供一种实用的教育工具，用于在经皮左心耳（LAA）封堵中利用心内超声（ICE）检查左心房。
背景
尽管经食管超声心动图（TEE）是 LAA 封堵的金标准成像技术，但 ICE 正在介入支持非冠状动脉心脏病介入治疗，通过改善工作流程和病例周转，对于有严重和多种合并症的虚弱患者可能更为合适。
方法
本文讨论了 ICE 在 LAA 封堵中的应用，与 TEE 相比的优势，TEE 使用的禁忌证，并对该手术的主要步骤进行了广泛的说明。
结论
在左心房中使用 ICE 可以对 LAA 经皮封堵的所有步骤进行可行的引导。
Zotero 插件