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经导管主动脉瓣和二尖瓣置换术

Transcatheter Aortic and Mitral Valve Replacements.

作者信息

Wilson Ryan, McNabney Charis, Weir-McCall Jonathan R, Sellers Stephanie, Blanke Philipp, Leipsic Jonathon A

机构信息

Department of Radiology, Vancouver General Hospital, University of British Columbia, 899 West 12th Avenue, Vancouver, British Columbia V5Z1M9, Canada.

Department of Radiology, St Paul's Hospital, University of British Columbia, 899 West 12th Avenue, Vancouver, British Columbia V5Z1M9, Canada.

出版信息

Radiol Clin North Am. 2019 Jan;57(1):165-178. doi: 10.1016/j.rcl.2018.08.001. Epub 2018 Oct 31.

Abstract

Amid rapid growth in transcatheter valvular interventions computed tomography (CT) has emerged as a pivotal noninvasive imaging resource that can be used throughout many stages of the transcatheter heart valve process, enhancing procedural success and efficacy. It affords a three-dimensional assessment of the aortic and challenging saddle-shaped mitral annulus, facilitating appropriate device selection, sizing, and preprocedural prediction angles for prosthetic deployment. Postprocedural imaging allows documentation of procedural success, evaluation of prosthesis positioning, and identifying asymptomatic complications. This article provides an overview of the role of CT in both trancatheter aortic valve repair (TAVR) and transcatheter mitral valve replacement (TMVR).

摘要

在经导管瓣膜介入治疗快速发展的背景下,计算机断层扫描(CT)已成为一种关键的无创成像资源,可在经导管心脏瓣膜治疗的多个阶段使用,提高手术成功率和疗效。它能对主动脉和具有挑战性的鞍形二尖瓣环进行三维评估,有助于选择合适的器械、确定尺寸,并为假体植入预测术前角度。术后成像可记录手术成功情况、评估假体位置并识别无症状并发症。本文概述了CT在经导管主动脉瓣修复术(TAVR)和经导管二尖瓣置换术(TMVR)中的作用。

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