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经心腔内超声心动图在经皮三尖瓣介入治疗中的作用:一个新的 ICE 时代。

The Role of Intracardiac Echocardiography in Percutaneous Tricuspid Intervention: A New ICE Age.

机构信息

Division of Cardiology, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada. Electronic address: https://twitter.com/DanielHagemeyer.

Division of Cardiology, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada; Waikato Hospital, 183 Pembroke Street, Hamilton 3204, New Zealand.

出版信息

Interv Cardiol Clin. 2022 Jan;11(1):103-112. doi: 10.1016/j.iccl.2021.09.006.

DOI:10.1016/j.iccl.2021.09.006
PMID:34838293
Abstract

The prevalence of severe tricuspid regurgitation in older patients is high, and the clinical relevance is perceived more and more in recent years. Many of these patients are not suitable for surgery because of their age and comorbidities. Therefore, a variety of percutaneous interventions have been developed to address this unmet need. Procedural success strongly depends on adequate imaging during the intervention. Although transesophageal echocardiography is the standard of care, imaging may be limited due to anatomic factors and adverse acoustic shadowing. In this review, we discuss the current and future role of intracardiac echocardiography in tricuspid valve interventions.

摘要

老年患者重度三尖瓣反流的患病率较高,近年来其临床相关性越来越受到关注。由于年龄和合并症的原因,这些患者中有很多不适合手术。因此,已经开发出多种经皮介入治疗方法来满足这一未满足的需求。手术的成功在很大程度上取决于介入过程中的充分成像。尽管经食管超声心动图是护理标准,但由于解剖因素和不利的声影,成像可能会受到限制。在这篇综述中,我们讨论了经心腔内超声心动图在三尖瓣介入治疗中的当前和未来作用。

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