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多平面/三维经食管超声心动图监测以提高复杂经静脉导线拔除的安全性和效果。

Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions.

作者信息

Strachinaru Mihai, Kievit Chris M, Yap Sing C, Hirsch Alexander, Geleijnse Marcel L, Szili-Torok Tamas

机构信息

Cardiology, Erasmus MC, Rotterdam, The Netherlands.

Radiology, Erasmus MC, Rotterdam, The Netherlands.

出版信息

Echocardiography. 2019 May;36(5):980-986. doi: 10.1111/echo.14318. Epub 2019 Mar 24.

DOI:10.1111/echo.14318
PMID:30905087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6593712/
Abstract

Both transesophageal echocardiography (TEE) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases where the procedure is expected to be difficult, we propose adding a continuous TEE monitoring using a static 3D/multiplane probe in mid-esophageal position, with digital remote manipulation of the field of view. This approach may improve the chances of a successful extraction, increase safety, or even guide the entire intervention. We present here a short case series where continuous monitoring by TEE played an important role.

摘要

经食管超声心动图（TEE）和心腔内超声心动图都已用于辅助经静脉导线拔除。在该操作过程中持续超声心动图监测的临床实用性仍存在争议，不同的报告支持相反的结果。在预计操作困难的情况下，我们建议使用位于食管中部位置的静态三维/多平面探头进行持续TEE监测，并对视野进行数字远程操控。这种方法可能会提高成功拔除的几率，增加安全性，甚至指导整个干预过程。我们在此展示一个简短的病例系列，其中TEE持续监测发挥了重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/7c114ca2f1f3/ECHO-36-980-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/29e3334ce573/ECHO-36-980-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/5070d47aec6c/ECHO-36-980-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/4756865da5d8/ECHO-36-980-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/6c5e44004d34/ECHO-36-980-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/e27dbabd5ce1/ECHO-36-980-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/ecd06ed83fd0/ECHO-36-980-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/5c4f8b542061/ECHO-36-980-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/7c114ca2f1f3/ECHO-36-980-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/29e3334ce573/ECHO-36-980-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/5070d47aec6c/ECHO-36-980-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/4756865da5d8/ECHO-36-980-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/6c5e44004d34/ECHO-36-980-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/e27dbabd5ce1/ECHO-36-980-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/ecd06ed83fd0/ECHO-36-980-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/5c4f8b542061/ECHO-36-980-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49f5/6593712/7c114ca2f1f3/ECHO-36-980-g008.jpg

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