Interventional CMR: Clinical applications and future directions.
Interventional CMR: Clinical applications and future directions.
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DOI：
10.1007/s11886-015-0580-1
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发表时间：
2015-05
影响因子：
3.7
通讯作者：
Lederman RJ
中科院分区：
文献类型：
--
作者：
Rogers T;Lederman RJ
介入性心血管磁共振(ICMR)有望实现无辐射的插管程序，并增强结构性心脏和电生理干预的当代影像指导。然而，令人兴奋的临床前干预措施的临床翻译一直受到在磁共振(MR)环境中安全使用的设备的可用性的限制。我们讨论了临床翻译的挑战和解决方案，包括MR条件和MR安全设备的设计，以及如何配置介入套件。我们回顾了最近的进展，这些进展已经使诊断MR右心插管和简单的电生理消融能够在人类身上进行，并探索了未来的临床应用。
Interventional cardiovascular magnetic resonance (iCMR) promises to enable radiation-free catheterization procedures and to enhance contemporary image guidance for structural heart and electrophysiological interventions. However, clinical translation of exciting pre-clinical interventions has been limited by availability of devices that are safe to use in the magnetic resonance (MR) environment. We discuss challenges and solutions for clinical translation, including MR-conditional and MR-safe device design, and how to configure an interventional suite. We review the recent advances that have already enabled diagnostic MR right heart catheterization and simple electrophysiologic ablation to be performed in humans and explore future clinical applications.