Barki Monica, Hahn Rebecca T
Cardiovascular Imaging Unit, Cardiothoracic Department, IRCCS San Raffaele Hospital, Milan, Italy.
Department of Medicine, Columbia University Irving Medical Center/New York-Presbyterian Hospital, 177 Fort Washington Avenue, New York, NY, 10032, USA.
Cardiovasc Ultrasound. 2025 Aug 4;23(1):17. doi: 10.1186/s12947-025-00354-2.
With the growing complexity of structural heart disease procedures, the need for advanced intraprocedural imaging has become increasingly critical. Transesophageal echocardiography remains the gold standard for procedural guidance but is associated with risks such as upper gastrointestinal tract injury and the need for general anesthesia for patient comfort and safety. Miniaturized three-dimensional transesophageal echocardiography (miniTEE) probes offer a promising solution by providing high-resolution imaging which could be performed under conscious sedation. Studies evaluating the miniTEE probe for safety, image quality, and ability to guide specific structural and non-structural heart disease procedures will be reviewed. The limitations and future developments will be discussed.
随着结构性心脏病手术日益复杂，术中高级成像的需求变得愈发关键。经食管超声心动图仍是手术指导的金标准，但存在诸如上消化道损伤等风险，且为确保患者舒适与安全需要全身麻醉。小型化三维经食管超声心动图（miniTEE）探头通过提供可在清醒镇静下进行的高分辨率成像，提供了一个有前景的解决方案。将对评估miniTEE探头安全性、图像质量以及指导特定结构性和非结构性心脏病手术能力的研究进行综述。还将讨论其局限性和未来发展。
