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经导管三尖瓣缘对缘修复的高级超声心动图引导

Advanced Echocardiographic Guidance for Transcatheter Tricuspid Edge-To-Edge Repair.

作者信息

Kassab Joseph, Miyasaka Rhonda L, Harb Serge C

机构信息

Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, OH, USA; Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, J2-3, Cleveland, OH 44195, USA.

出版信息

Interv Cardiol Clin. 2025 Jul;14(3):329-338. doi: 10.1016/j.iccl.2024.09.004.

Abstract

Echocardiography, in all its forms (transthoracic echocardiography [TTE], transesophageal echocardiography [TEE], and intracardiac echocardiography [ICE]), is pivotal for the evaluation, guidance, and follow-up of transcatheter tricuspid edge-to-edge repair (TV-TEER) therapies. Although two-dimensional (2D) echocardiography remains essential, three-dimensional (3D) echo with multiplanar reconstruction (MPR) has revolutionized the field of structural imaging. In addition, the advent of 3D ICE has added an important modality to the imaging toolbox, particularly helpful when intraprocedural TEE images are challenging. In this review, we provide a detailed, step-by-step approach for advanced echocardiographic guidance of TV-TEER using 3D MPR.

摘要

各种形式的超声心动图(经胸超声心动图 [TTE]、经食管超声心动图 [TEE] 和心内超声心动图 [ICE])对于经导管三尖瓣缘对缘修复(TV-TEER)治疗的评估、指导和随访至关重要。尽管二维(2D)超声心动图仍然必不可少,但具有多平面重建(MPR)的三维(3D)超声心动图彻底改变了结构成像领域。此外,3D ICE 的出现为成像工具箱增添了一种重要的方式,在术中 TEE 图像具有挑战性时特别有用。在本综述中,我们提供了一种详细的、逐步的方法,用于使用 3D MPR 对 TV-TEER 进行高级超声心动图指导。

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