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三维经食管超声心动图引导下经间隔穿刺用于经皮房间隔缺损封堵术后经皮二尖瓣缘对缘修复

Three-dimensional transesophageal echocardiography-guided transseptal puncture for percutaneous mitral valve edge-to-edge repair post-percutaneous atrial septal defect closure.

作者信息

Tabata Hiroyuki, Isotani Akihiro, Shirai Shinichi, Ando Kenji

机构信息

Department of Cardiology Kokura Memorial Hospital Kitakyushu Japan.

出版信息

Clin Case Rep. 2023 Aug 11;11(8):e7794. doi: 10.1002/ccr3.7794. eCollection 2023 Aug.

DOI:10.1002/ccr3.7794
PMID:37575463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10421970/
Abstract

KEY CLINICAL MESSAGE

Three-dimensional multiplanar analysis and real-time three-dimensional guidance using transesophageal echocardiography can help to identify and access the ideal position for transseptal puncture even in the presence of atrial septal occluders.

ABSTRACT

Transseptal puncture (TSP) for the percutaneous mitral valve edge-to-edge repair (PMVR) after percutaneous atrial septal defect (ASD) closure is a rare and challenging issue. Here, we present a case illustrating the feasibility of real-time three-dimensional transesophageal echocardiographic guidance for TSP without ASD closure device injury.

摘要

关键临床信息

即使存在房间隔封堵器，经食管超声心动图的三维多平面分析和实时三维引导也有助于识别和确定经房间隔穿刺的理想位置。

摘要

经皮房间隔缺损（ASD）封堵术后经皮二尖瓣缘对缘修复（PMVR）的经房间隔穿刺（TSP）是一个罕见且具有挑战性的问题。在此，我们展示了一个病例，说明实时三维经食管超声心动图引导下进行TSP且不损伤ASD封堵装置的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/23d54ce60981/CCR3-11-e7794-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/72c22f08023c/CCR3-11-e7794-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/ebd8a9c560b7/CCR3-11-e7794-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/708b39281f8f/CCR3-11-e7794-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/23d54ce60981/CCR3-11-e7794-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/72c22f08023c/CCR3-11-e7794-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/ebd8a9c560b7/CCR3-11-e7794-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/708b39281f8f/CCR3-11-e7794-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/10421970/23d54ce60981/CCR3-11-e7794-g003.jpg

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本文引用的文献

1
Anatomic Approach to Transseptal Puncture for Structural Heart Interventions.经房间隔穿刺行结构性心脏病介入治疗的解剖学入路。
JACC Cardiovasc Interv. 2021 Jul 26;14(14):1509-1522. doi: 10.1016/j.jcin.2021.04.037.
2
Transseptal access for left heart structural interventions in the setting of prior atrial septal defect closure.经房间隔入路行左心结构性介入治疗在既往房间隔缺损封堵术后的应用。
Catheter Cardiovasc Interv. 2020 Feb 15;95(3):414-419. doi: 10.1002/ccd.28548. Epub 2019 Oct 22.
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Transseptal Techniques for Emerging Structural Heart Interventions.
经房间隔技术用于新兴结构性心脏病介入治疗。
JACC Cardiovasc Interv. 2016 Dec 26;9(24):2465-2480. doi: 10.1016/j.jcin.2016.10.035.
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Different transseptal puncture for different procedures: Optimization of left atrial catheterization guided by transesophageal echocardiography.不同手术的不同经间隔穿刺：经食管超声心动图引导下左心房导管插入术的优化
Ann Card Anaesth. 2016 Oct-Dec;19(4):589-593. doi: 10.4103/0971-9784.191548.
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Peri-interventional echo assessment for the MitraClip procedure.经皮二尖瓣夹合术术中经食道超声心动图评估。
Eur Heart J Cardiovasc Imaging. 2013 Oct;14(10):935-49. doi: 10.1093/ehjci/jet060.
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Imaging the atrial septum using real-time three-dimensional transesophageal echocardiography: technical tips, normal anatomy, and its role in transseptal puncture.实时三维经食管超声心动图成像技术在房间隔中的应用：技术要点、正常解剖结构及其在房间隔穿刺中的作用。
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