用于三尖瓣经导管缘对缘修复的三维心内超声心动图
Three-Dimensional Intracardiac Echocardiography for Tricuspid Transcatheter Edge-to-Edge Repair.
作者信息
Chadderdon Scott M, Eleid Mackram F, Thaden Jeremy J, Makkar Raj, Nakamura Mamoo, Babaliaros Vasilis, Greenbaum Adam, Gleason Patrick, Kodali Susheel, Hahn Rebecca T, Koulogiannis Konstantinos P, Marcoff Leo, Grayburn Paul, Smith Robert L, Song Howard K, Lim D Scott, Gray William A, Hawthorne Katie, Deuschl Florian, Narang Akhil, Davidson Charles, Zahr Firas E
机构信息
Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
出版信息
Struct Heart. 2022 Aug 10;6(4):100071. doi: 10.1016/j.shj.2022.100071. eCollection 2022 Aug.
Patients with severe symptomatic tricuspid regurgitation face a significant dilemma in treatment options, as the yearly mortality with medical therapy and the surgical mortality for tricuspid repair or replacement are high. Transcatheter edge-to-edge repair (TEER) for the tricuspid valve is becoming a viable option in patients, although procedural success is dependent on high-quality imaging. While transesophageal echocardiography remains the standard for tricuspid TEER procedures, intracardiac echocardiography (ICE) with three-dimensional (3D) multiplanar reconstruction (MPR) has many theoretical and practical advantages. The aim of this article was to describe the in vitro wet lab-based imaging work done to facilitate the best approach to 3D MPR ICE imaging and the procedural experience gained with 3D MPR ICE in tricuspid TEER procedures with the PASCAL device.
患有严重症状性三尖瓣反流的患者在治疗选择上面临重大困境，因为药物治疗的年死亡率以及三尖瓣修复或置换的手术死亡率都很高。经导管缘对缘修复（TEER）治疗三尖瓣正成为患者的一种可行选择，尽管手术成功取决于高质量成像。虽然经食管超声心动图仍是三尖瓣TEER手术的标准，但具有三维（3D）多平面重建（MPR）功能的心内超声心动图（ICE）具有许多理论和实际优势。本文的目的是描述基于体外湿实验室的成像工作，以促进3D MPR ICE成像的最佳方法，以及在使用PASCAL装置进行三尖瓣TEER手术中使用3D MPR ICE获得的手术经验。
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