Department of Cardiology, University Medical Center Mainz, Johannes Gutenberg-University, Langenbeckstraße 1, 55131 Mainz, Germany.
Department of Diagnostic and Interventional Radiology, University Medical Center Mainz, Johannes Gutenberg-University, Mainz, Germany.
Eur Heart J Cardiovasc Imaging. 2021 May 10;22(6):601-610. doi: 10.1093/ehjci/jeaa308.
Transcatheter tricuspid valve therapies are an emerging field in structural heart interventions due to the rising number of patients with severe tricuspid regurgitation and the high risk for surgical treatment. Computed tomography (CT) allows exact measurements of the annular plane, evaluation of adjacent structures, assessment of the access route, and can also be used to identify optimal fluoroscopic projection planes to enhance periprocedural imaging. This review provides an overview of current transcatheter tricuspid valve repair and replacement therapies and to what extent CT can support these interventions.
经导管三尖瓣治疗是结构性心脏介入领域的一个新兴领域，这是由于严重三尖瓣反流患者数量不断增加，以及手术治疗风险较高所致。计算机断层扫描（CT）可以精确测量瓣环平面，评估相邻结构，评估入路，还可以用于识别最佳的透视投影平面，以增强围手术期成像。本文综述了目前经导管三尖瓣修复和置换治疗方法，以及 CT 在多大程度上可以支持这些介入治疗。
