经导管三尖瓣瓣环成形术中经食管超声心动图监测流程及经验介绍  

Real-time monitoring and step-by-step guidance for transcatheter tricuspid annuloplasty using transesophageal echocardiography

作　　者：潘翠珍[1] 周达新[2] 张晓春[2] 李伟[1] 陈莎莎[2] 张源[2] 史静[1] 陈海燕[1] 孔德红[1] 刘宇 葛振一 郭克芳 舒先红[1] 葛均波[2] Pan Cuizhen;Zhou Daxin;Zhang Xiaochun;Li Wei;Chen Shasha;Zhang Yuan;Shi Jing;Chen Haiyan;Kong Dehong;Liu Yu;Ge Zhenyi;Guo Kefang;Shu Xianhong;Ge Junbo(Department of Echocardiography,Shanghai Institute of Cardiovascular Diseases,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Cardiology,Shanghai Institute of Cardiovascular Diseases,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院,上海心血管病研究所心超室,上海200032 [2]复旦大学附属中山医院,上海心血管病研究所心内科,上海200032 [3]复旦大学附属中山医院麻醉科,上海200032

出　　处：《中华超声影像学杂志》2022年第7期626-630,共5页Chinese Journal of Ultrasonography

基　　金：国家重点研发计划资助(2020YFC2008100);上海市科学技术委员会(202140291)。

摘　　要：三尖瓣反流(tricuspid regurgitation,TR)介入治疗是目前心血管介入治疗研究领域热点之一。每一种TR介入器械的术中超声心动图监测均具有其独特的影像学特点。K-Clip^(TM)经导管三尖瓣瓣环成形系统为国内首个自主研发的采用瓣环成形原理的TR介入系统,亦为国际上首个采用夹合方式达到环缩目的的经导管瓣环成形系统。但目前国内尚缺乏针对经导管三尖瓣瓣环成形术的超声心动图术中监测流程的报道。笔者基于复旦大学附属中山医院实施K-Clip^(TM)植入的自主经验,总结了其术中监测的二维、三维经食管超声心动图标准切面和操作技巧,旨在与国内同行分享该系统成功植入的经验,也为国内未来经导管三尖瓣瓣环成形器械的术中超声监测提供参考。Tricuspid regurgitation(TR)interventions are under rapid development.The K-Clip™system is the first domestic transcatheter tricuspid annuloplasty system with unique clamping procedure to achieve annular reduction.Intraoperative echocardiographic monitoring procedures for transcatheter tricuspid annuloplasty have not been reported yet in China.Thus,this review aimed to propose the standard two-dimensional and three-dimensional transesophageal echocardiographic workplanes and procedures to guide and monitor the implantation of K-Clip system based on our experience in Zhongshan Hospital,Fudan University to provide a reference point for the intraoperative echocardiographic monitoring of future transcatheter tricuspid annuloplasty devices in China.

关 键 词：超声心动描记术 三尖瓣反流 三尖瓣环 瓣环成形术 

分 类 号：R542.53[医药卫生—心血管疾病]