Division of Cardiology, West Virginia University, Morgantown, West Virginia.
Sidra Cardiac Program, Sidra Medical & Research Center, Doha, Qatar.
JACC Cardiovasc Interv. 2018 Nov 12;11(21):2133-2147. doi: 10.1016/j.jcin.2018.06.056.
Intracardiac echocardiography has historically been used to guide a limited number of transcatheter cardiac interventions. However, the tremendous advances in structural heart disease interventions in the last decade led to a growing interest in intracardiac echocardiography as a potential alternative to transesophageal echocardiography that mitigates the need for endotracheal intubation. Nonetheless, the scarcity of data, the imperfection of the current probes, and the limited experience among operators prevented a wider adoption of this technology. This review summarizes the contemporary relevant evidence and provides the structural interventionalist with an illustrative guide on the use of intracardiac echocardiography to guide various structural heart interventions.
腔内超声心动图在历史上一直被用于指导有限数量的经导管心脏介入治疗。然而，过去十年结构性心脏病介入治疗的巨大进步，使得人们对腔内超声心动图越来越感兴趣，认为它可以替代需要气管插管的经食管超声心动图。尽管如此，由于数据的缺乏、现有探头的不完善以及操作者经验的有限，这项技术仍未能得到更广泛的应用。本文综述了当代相关证据，并为结构性介入心脏病专家提供了一份关于使用腔内超声心动图指导各种结构性心脏介入治疗的说明性指南。
