Hôpital Marie Lannelongue, Cardiologie congénitale, chirurgie cardiaque congénitale et cardiologie interventionnelle, Centre de référence M3C cardiopathies congénitales complexes, Groupe Hospitalier Paris Saint Joseph, Paris Saclay University, Le Plessis Robinson, France.
Centre Hospitalo-Universitaire de Toulouse. Service de cardiologie pédiatrique et congénitale. Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, Toulouse, France.
Curr Cardiol Rep. 2021 Aug 19;23(10):138. doi: 10.1007/s11886-021-01571-7.
Percutaneous closure of sinus venosus atrial septal defects (ASD) using covered stent implantation is a new and promising minimally invasive technique. New imaging tools are used to ensure preoperative anatomical characterization and preoperative guidance, which are key procedural success factors. Here we will describe and analyze these recent developments.
Sinus venosus ASDs present a wide variety of anatomical features which must be described and analyzed using various imaging tools, including 3D technology. Percutaneous closure is challenging, but can hasten clinical recovery compared to the gold-standard conventional open-heart surgery. The feasibility of percutaneous closure relies on precise preoperative anatomical study and on real-time guidance using a multimodal fusion imaging process. Three-dimensional modeling of sinus venosus ASD is essential to understand the large anatomical panel encountered in this pathology. Multimodal fusion imaging guidance is very useful for performing sinus venosus ASD percutaneous closure in selected patients.
经皮使用覆膜支架植入术闭合静脉窦型房间隔缺损（ASD）是一种新的、有前途的微创技术。新的成像工具用于确保术前解剖学特征描述和术前指导，这是手术成功的关键因素。在此，我们将描述和分析这些最新进展。
静脉窦 ASD 具有广泛的解剖学特征，必须使用包括 3D 技术在内的各种成像工具进行描述和分析。与传统的金标准开胸手术相比，经皮闭合术可加快临床康复。经皮闭合术的可行性取决于精确的术前解剖学研究和使用多模态融合成像过程的实时指导。静脉窦 ASD 的三维建模对于理解该病理中遇到的大解剖面板至关重要。多模态融合成像引导对于在选定患者中进行静脉窦 ASD 的经皮闭合术非常有用。
