Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure
Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure
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DOI：
10.1016/j.echo.2017.05.001
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发表时间：
2017-09-01
影响因子：
6.5
通讯作者：
Monaghan, Mark J.
中科院分区：
文献类型：
--
作者：
Faletra, Francesco F.;Biasco, Luigi;Monaghan, Mark J.
在基于导管的结构性心脏病和左侧电生理干预的时代，房间隔穿刺（TSP）可能是最常见的经导管手术。经验丰富的介入心脏病学家和电生理学家可以仅使用荧光镜引导安全地进行 TSP。然而，目前 TSP 通常是复杂的基于经皮导管的结构性心脏病手术的第一步，并且需要精确的特定部位 TSP。因此，在这些手术中，大多数介入心脏病专家在荧光镜和二维或三维经食管超声心动图引导下进行 TSP。 EchoNavigator 系统可以通过融合荧光镜和经食管超声心动图图像来提供解决方案。在这篇综述中，作者描述了这种新成像系统在指导 TSP 方面的优点和局限性，并提出了可能促进 TSP 的特定超声心动图-荧光镜融合成像视角，使其可能更容易、更安全。
In an era of catheter-based structural heart disease and left-side electrophysiologic interventions, transseptal puncture (TSP) is probably the most common transcatheter procedure. Experienced interventional cardiologists and electrophysiologists may safely perform TSP using fluoroscopic guidance alone. However, at present TSP is usually the first step in complex percutaneous catheter-based structural heart disease procedures and necessitate a precise site-specific TSP. Thus, in these procedures most interventional cardiologists perform TSP under fluoroscopic and two- or three-dimensional transesophageal echocardiographic guidance. The EchoNavigator system may provide a solution by fusing fluoroscopic and transesophageal echocardiographic images. In this review, the authors describe advantages and limitations of this new imaging system in guiding TSP and suggest specific echocardiographic-fluoroscopic fusion imaging perspectives that may facilitate TSP, making it potentially easier and safer.