First Cardiology Department, Hippokration Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Hippokration Hospital, 1st Department of Cardiac Surgery, Athens, Greece.
J Clin Ultrasound. 2024 Oct;52(8):1247-1253. doi: 10.1002/jcu.23772. Epub 2024 Jul 30.
In the dynamic field of interventional cardiology, significant strides have been made in reducing periprocedural complications. Echocardiography, particularly transesophageal echocardiography, plays a key role in ensuring the safety and success of structural heart interventions. Its real-time imaging capabilities allow for precise monitoring of device positioning, deployment, and procedural outcomes. By adhering to established imaging protocols and acquiring standard imaging planes, periprocedural echocardiography has become an essential tool for the successful performance of many structural heart interventions. In this manuscript, we present a series of unusual yet significant complications that we encountered during structural interventional procedures in our catheter laboratory. These complications, detected through echocardiography, underscore the critical role of imaging guidance in recognizing, and addressing unforeseen challenges, such as device malposition, thrombus formation in cardiac chambers during structural heart interventions, and cardiac tamponade during transcatheter mitral valve procedures. Through these cases, we highlight the effectiveness of transesophageal echocardiography in promptly identifying complications, allowing for timely intervention and resolution.
在介入心脏病学的领域中，已经取得了重大进展，可以降低围手术期并发症。超声心动图，特别是经食管超声心动图，在确保结构性心脏介入的安全和成功方面发挥着关键作用。其实时成像能力可精确监测器械的定位、部署和手术结果。通过遵循既定的成像方案并获取标准成像平面，围手术期超声心动图已成为许多结构性心脏介入成功实施的重要工具。在本手稿中，我们展示了在导管实验室进行结构性介入手术期间遇到的一系列罕见但重要的并发症。通过超声心动图检测到这些并发症，突显了成像引导在识别和解决意料之外的挑战方面的关键作用，例如器械位置不当、结构性心脏介入期间心脏腔室中的血栓形成，以及经导管二尖瓣手术期间的心包填塞。通过这些病例，我们强调了经食管超声心动图在及时识别并发症方面的有效性，从而能够及时进行干预和解决。
