Tan Weiyi, Aboulhosn Jamil
University of California, Los Angeles, USA.
Cardiovasc Diagn Ther. 2019 Oct;9(Suppl 2):S346-S359. doi: 10.21037/cdt.2018.09.10.
Cardiac catheterization procedures have revolutionized the treatment of adults with congenital heart disease over the past six decades. Patients who previously would have required open heart surgery for various conditions can now undergo percutaneous cardiac catheter-based procedures to close intracardiac shunts, relieve obstructive valvular lesions, stent stenotic vessels, or even replace and repair dysfunctional valves. As the complexity of percutaneous cardiac catheterization procedures has increased, so has the use of echocardiography for interventional guidance in adults with congenital heart disease. Transthoracic, transesophageal, intracardiac, and three-dimensional echocardiography have all become part and parcel of the catheterization laboratory experience. In this review, we aim to describe the different echocardiographic techniques and their role in various cardiac catheterization interventions specific to adults with congenital heart disease.
在过去的六十年里，心导管检查程序彻底改变了成人先天性心脏病的治疗方式。以前因各种病症需要进行心脏直视手术的患者，现在可以接受基于经皮心脏导管的程序，以闭合心内分流、缓解瓣膜阻塞性病变、扩张狭窄血管，甚至置换和修复功能失调的瓣膜。随着经皮心脏导管检查程序的复杂性增加，超声心动图在成人先天性心脏病介入治疗中的应用也随之增加。经胸、经食管、心内和三维超声心动图都已成为导管实验室经验的重要组成部分。在这篇综述中，我们旨在描述不同的超声心动图技术及其在成人先天性心脏病特定的各种心脏导管介入治疗中的作用。
