Pediatric Cardiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
Philips Healthcare, Andover, Massachusetts.
J Am Soc Echocardiogr. 2019 Dec;32(12):1495-1504. doi: 10.1016/j.echo.2019.07.023. Epub 2019 Oct 6.
With the increasing frequency of catheter-based interventions in congenital heart disease and structural heart disease, the use of fusion imaging has become a major enhancement for understanding complex anatomy and facilitating key steps in interventional procedures. Because transesophageal echocardiography and fluoroscopy are displayed in different visual perspectives, the interventional cardiologist must mentally reregister the images from the two modalities during the procedure. Echocardiography-fluoroscopy fusion (EFF) imaging displays the x-ray and ultrasound overlay images in the same visual perspective. This new technology allows for enhanced team communication, improved visual guidance, and more efficient navigation. The purpose of this review is to describe the EFF imaging technology, current uses of EFF imaging in congenital and structural heart disease, and future directions that will enhance this unique imaging technology to guide interventional procedures.
随着基于导管的先天性心脏病和结构性心脏病介入治疗的频率不断增加，融合成像的应用已经成为理解复杂解剖结构和促进介入手术关键步骤的主要手段。由于经食管超声心动图和透视图像显示在不同的视角，介入心脏病专家必须在手术过程中在大脑中重新注册来自两种模式的图像。超声心动图-透视融合（EFF）成像以相同的视觉视角显示 X 射线和超声叠加图像。这项新技术允许增强团队沟通，改善视觉指导，并更有效地导航。本文旨在描述 EFF 成像技术，当前在先天性和结构性心脏病中的应用，以及未来将增强这种独特成像技术以指导介入手术的方向。
