经食管二维、三维超声心动图在经导管三尖瓣置换术中监测及评价规范  

Standard for monitoring and evaluation of two-dimensional-and three-dimensional-transesophageal echocardiography during transcatheter tricuspid valve replacement

作　　者：潘翠珍[1] 李伟[1] 周达新[2] 张源[2] 潘文志[2] 陈莎莎[2] 史静[1] 陈海燕[1] 孔德红[1] 刘宇 葛振一 胡春强 郭克芳 舒先红[1] 葛均波[2] Pan Cuizhen;Li Wei;Zhou Daxin;Zhang Yuan;Pan Wenzhi;Chen Shasha;Shi Jing;Chen Haiyan;Kong Dehong;Liu Yu;Ge Zhenyi;Hu Chunqiang;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》2023年第5期449-454,共6页Chinese Journal of Ultrasonography

基　　金：上海市卫生健康委员会科研项目(202140291);国家重点研发计划资助(2020YFC2008104)。

摘　　要：目前三尖瓣介入治疗已成为全球热点。LuX-Valve是国内自主研发的非径向支撑力依赖的原位三尖瓣置换装置,而LuX-Valve Plus经导管三尖瓣置换术(transcatheter tricuspid valve replacement,TTVR)在其基础上将手术入路由经右心房改为经右颈内静脉,与第一代LuX-Valve相比,可以进一步减少创伤和肺部并发症。目前在复旦大学附属中山医院已完成首次人体临床研究,正在进行全国多中心临床探索性研究。超声心动图在TTVR术前筛查、术中影像支持和术后即刻评估及随访方面发挥着重要的作用,尤其是经食管二维超声心动图(two-dimensional transoesophageal echocardiography,2D-TEE)和经食管三维超声心动图(three-dimensional transoesophageal echocardiography,3D-TEE),但目前缺乏相应的术中监测和评估规范。本研究简述术中2D-TEE、3D-TEE的操作规范及注意事项,以确保TTVR的成功实施。Transcatheter tricuspid valve intervention is the new frontier of interventional cardiology.The LuX-Valve is a radial force-independent orthotopic tricuspid valve replacement device developed in China.The LuX-Valve Plus transcatheter tricuspid valve replacement(TTVR)system is changed from the trans-atrial to the transjugular approach,which further reduces trauma and pulmonary complications compared with the first generation LuX-Valve.The first-in-human study has been completed at Zhongshan Hospital,Fudan University and an exploratory multicentre clinical study is underway.Echocardiography plays an important role in pre-TTVR screening,intraoperative guidance and postoperative evaluation and follow-up,especially two-dimensional transoesophageal echocardiography(2D-TEE)and three-dimensional transoesophageal echocardiography(3D-TEE).However,there is a lack of appropriate intraoperative guidance and assessment protocols.In this study,we briefly described the protocols and imaging considerations for intraoperative 2D-TEE and 3D-TEE to ensure the successful implantation of TTVR.

关 键 词：超声心动描记术 三维 三尖瓣反流 介入 三尖瓣置换 

分 类 号：R540.45[医药卫生—心血管疾病] R654.2[医药卫生—内科学]