Salgado Rodrigo, Cadour Farah, Cau Riccardo, Saba Luca
Department of Radiology, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, Belgium.
Faculty of Medicine & Health Sciences, University of Antwerp, Universiteitsplein 10, 2610 Wilrijk, Belgium.
Diagnostics (Basel). 2025 Jan 3;15(1):97. doi: 10.3390/diagnostics15010097.
Over the past decade, several trials and observational studies have validated the use of minimally invasive cardiac interventions as viable treatment options for various cardiac diseases. Transcatheter techniques for severe aortic valve stenosis have rapidly emerged as alternatives to surgical aortic valve replacement in certain patient populations. Additionally, non-surgical treatment options have expanded for conditions affecting other cardiac valves, such as the mitral valve. These emerging minimally invasive interventions complement already well-established endovascular techniques for, among others, atrial septal defect closure, left atrial appendage occlusion and pulmonary vein isolation in patients with atrial fibrillation. Given their non-surgical nature and lack of direct visualisation of the targeted anatomy, these procedures heavily rely on precise pre-procedural radiological imaging for optimal patient selection and procedural success. This paper is based on the expert opinion of the authors and an exhaustive literature research. This manuscript reviews the most commonly employed minimally invasive cardiac interventions, highlighting the essential pre-procedural imaging information and key aspects that must be included in radiological reports to mitigate potential complications. Accurate pre-procedural imaging is crucial for ensuring safe and effective minimally invasive cardiac interventions, underscoring the importance of the radiologist in the pre-procedural work-up of these patients.
在过去十年中，多项试验和观察性研究证实，微创心脏介入治疗作为各种心脏病的可行治疗选择是有效的。在某些患者群体中，用于严重主动脉瓣狭窄的经导管技术已迅速成为外科主动脉瓣置换术的替代方法。此外，针对影响其他心脏瓣膜（如二尖瓣）的病症，非手术治疗选择也有所增加。这些新兴的微创介入治疗补充了已成熟的血管内技术，用于治疗心房颤动患者的房间隔缺损封堵、左心耳封堵和肺静脉隔离等疾病。鉴于这些手术的非手术性质以及缺乏对目标解剖结构的直接可视化，这些手术严重依赖精确的术前放射影像学检查，以实现最佳的患者选择和手术成功。本文基于作者的专家意见和详尽的文献研究。本手稿回顾了最常用的微创心脏介入治疗，强调了术前成像的基本信息以及放射学报告中必须包含的关键方面，以减少潜在并发症。准确的术前成像对于确保微创心脏介入治疗的安全有效至关重要，这突出了放射科医生在这些患者术前检查中的重要性。
