作者：Cam Tu Nguyen, Eunice Lee, Huai Luo, Robert J Siegel
单位：Cedars Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USA
通讯作者：Robert J Siegel, MD, FACC.
通讯地址：8700 Beverly Blvd. Rm 5623, Los Angeles, CA 90048, USA.
Tel: (310) 423-3849; Fax: (310) 423-8571. Email: siegel@cshs.org.
摘要：超声心动图指导在经皮心血管介入治疗和血管通路技术中扮演着重要角色。优点包括实时成像，可移植性，以及实用性，这些优点使之成为一种有效的影像学方法。这篇文章将简述超声心动图指南在和经皮诊断和介入治疗中扮演的角色，如静脉注射，动脉注射，心包穿刺，心内膜心肌活检，经导管肺动脉瓣置换，肺动脉瓣修复、肺主动脉瓣植入、经皮二尖瓣修复。超声心动图指南可以为这些治疗方法提供关于解剖学、附属结构、以及手术中仪器位置方面的详细信息，从而增进功效、安全性以及治疗效果。我们将在文中讲述这些内容。
关键词：经皮心血管治疗；血管通路；超声心动图引导；
分类号：DOI: 10.3978/j.issn.2223-3652.2011.09.02
英文原文：
Echocardiographic Guidance for Diagnostic and Therapeutic Percutaneous Procedures
Cam Tu Nguyen, Eunice Lee, Huai Luo, Robert J Siegel
Cedars Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USA
Corresponding to: Robert J Siegel, MD, FACC. 8700 Beverly Blvd. Rm 5623, Los Angeles, CA 90048, USA. Tel: (310) 423-3849; Fax: (310) 423-8571. Email: siegel@cshs.org.
Abstract
Echocardiographic guidance has an important role in percutaneous cardiovascular procedures and vascular access. The advantages include real time imaging, portability, and availability, which make it an effective imaging modality. This article will review the role of echocardiographic guidance for diagnostic and therapeutic percutaneous procedures, specifically, transvenous and transarterial access, pericardiocentesis, endomyocardial biopsy, transcatheter pulmonary valve replacement, pulmonary valve repair, transcatheter aortic valve implantation, and percutaneous mitral valve repair. We will address the ways in which echocardiographic guidance provides these procedures with detailed information on anatomy, adjacent structures, and intraprocedural instrument position, thus resulting in improvement in procedural efficacy, safety and patient outcomes.
Key words：Percutaneous cardiovascular procedures; vascular access; echocardiographic guidance
Cardiovasc Diagn Ther 2011 Sep 24. DOI: 10.3978/j.issn.2223-3652.2011.09.02
