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Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus.

心内超声心动图作为动脉导管未闭介入封堵术的指导。

  • 影响因子:0
  • DOI:10.1155/2020/5147193
  • 作者列表:"Yoshimoto H","Yasuto M","Inoue T","Kagiyama Y","Teramachi Y","Takase R","Koteda Y","Fukumoto Y","Iemura M","Suda K
  • 发表时间:2020-07-30
Abstract

Background:Transcatheter closure of patent ductus arteriosus (TC-PDA), conventionally guided by aortography, has become the standard treatment of this disease. The purposes of this study were to evaluate whether intracardiac echocardiography (ICE) may be used for measuring PDA size and be used as a guide for TC-PDA. Methods:This study had 2 phases. In phase 1, we compared the measurements of PDA size: pulmonary artery side diameter (PA-D), length, and aortic side diameter (Ao-D) of PDA, as measured by ICE with those measured by aortography or cardiac computed tomography (AoG/CCT) in 23 patients who underwent TC-PDA. In phase 2, we compared the demographics, fluoroscopic time, contrast volume, and complications of the TC-PDAs between 10 adult patients with ICE guidance and 16 without it. Results:In phase 1, we found great correlation and agreement between ICE and AoG/CCT in PA-D (r = 0.985, bias -0.077 to 0.224), but moderate to poor correlation and agreement in length (r = 0.653, bias -0.491 to 3.065) and Ao-D (r = 0.704, bias 0.738 to 4.732), respectively. Nevertheless, all patients underwent successful TC-PDA with ICE guidance that allowed us to continuously monitor the whole process. In phase 2, TC-PDA required a significantly lower contrast volume with ICE guidance than without it, and there was no significant difference in the remaining variables between the 2 groups. Conclusion:ICE is comparable to AoG/CCT in providing accurate PA-D of the PDA and may be a safe alternative to guide TC-PDA as compared to conventional aortography.

摘要

背景: 动脉导管未闭 (TC-PDA) 经导管封堵术已成为该病的标准治疗方法。本研究的目的是评估心内超声心动图 (ICE) 是否可用于测量PDA尺寸并作为TC-PDA的指导。 方法: 本研究分为2个阶段。在第一阶段,我们比较了PDA大小的测量结果: PDA的肺动脉侧直径 (pa-d) 、长度和主动脉侧直径 (Ao-D),如ICE测量的与主动脉造影或心脏计算机断层扫描 (AoG/CCT) 测量的。在23例接受TC-PDA的患者中。在第2阶段,我们比较了10例使用ICE指导的成年患者和16例不使用ICE指导的成年患者的人口统计学、透视时间、对比剂量和tc-pdas的并发症。 结果: 在第一阶段,我们发现在PA-D中ICE和AoG/CCT之间有很大的相关性和一致性 (r   =   0.985,偏倚-0.077至0.224),但在长度上有中等至差的相关性和一致性 (r   =   0.653,偏倚-0.491至3.065) 和Ao-D (r   =   0.704,偏差0.738至4.732)。尽管如此,所有患者都在ICE指导下成功接受了TC-PDA,这使我们能够持续监测整个过程。在第2阶段,TC-PDA在ICE引导下需要比没有ICE引导下显著更低的对比体积,并且在2组之间其余变量没有显著差异。 结论: ICE在提供准确的PDA pa-d方面与AoG/CCT相当,并且与常规主动脉造影相比,ICE可能是引导TC-PDA的安全替代方案。

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影响因子:2.41
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关键词: 暂无
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影响因子:1.67
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DOI:10.2174/1573403X15666190513105231
作者列表:["Dev M","Sharma M","Rana N"]

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心脏影像技术方向

心脏结构和心脏血流的可视化,用于诊断评估或通过内窥镜、放射性核素成像等技术来指导心脏手术。

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