Katsiampoura Anastasia, Tuttle Mark, Sharkey Aidan, Huang Lisa, Baribeau Vincent, Mahmood Feroze, Bose Ruma R
Department of Anesthesiology, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Department of Cardiology, Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
J Cardiothorac Vasc Anesth. 2022 Feb;36(2):594-598. doi: 10.1053/j.jvca.2021.06.013. Epub 2021 Jun 17.
Procedural guidance during structural heart disease (SHD) interventions is achieved with both two-dimensional and three-dimensional transesophageal echocardiography as well as real-time fluoroscopic imaging. Although both image the cardiac anatomy, they are based on different principles of image acquisition. In the era of multimodality imaging with coregistration of anatomic landmarks and simultaneous real-time display, it is essential to have cross-disciplinary imaging knowledge. Besides improving communication, it also enhances patient care and, possibly, outcomes. In this study, the authors used a novel fluoroscopic phantom cardiac model with enhanced structural markers to display the basic fluoroscopic images used during SHD interventions. The projected images enhance the understanding of the orientation and relationship among intracardiac structures as seen on fluoroscopy. In this study, the authors present the basic fluoroscopic views for SHD interventions and the anatomic relationship for intracardiac structures using a custom-made phantom fluoroscopic heart model.
在结构性心脏病（SHD）介入治疗过程中，二维和三维经食管超声心动图以及实时荧光透视成像均可提供程序指导。虽然两者都能对心脏解剖结构成像，但它们基于不同的图像采集原理。在多模态成像时代，通过解剖标志配准和同步实时显示，具备跨学科成像知识至关重要。这不仅能改善沟通，还能提升患者护理水平，甚至可能改善治疗结果。在本研究中，作者使用了一种带有增强结构标记的新型荧光透视心脏模型来展示SHD介入治疗期间使用的基本荧光透视图像。投影图像增强了对荧光透视下心脏内结构的方向和关系的理解。在本研究中，作者使用定制的荧光透视心脏模型展示了SHD介入治疗的基本荧光透视视图以及心脏内结构的解剖关系。
