经导管主动脉瓣置入术中CT的使用
Cite this article as: Schoenhagen P, Hausleiter J, Achenbach S, Y. Desai M, Tuzcu EM. Computed Tomography in the Evaluation for Transcatheter Aortic Valve Implantation (TAVI). Cardiovasc Diagn Ther 2011 Aug 29. doi: 10.3978/j.issn.2223-3652.2011.08.01
Review Article

经导管主动脉瓣置入术中CT的使用

Paul Schoenhagen1, Jörg Hausleiter2, Stephan Achenbach3, Milind Y. Desai1, E. Murat Tuzcu1

1Cleveland Clinic, Imaging Institute and Heart & Vascular Institute, Cleveland, USA; 2Deutsches Herzzentrum München, Department of Cardiology, Munich, Germany; 3University of Erlangen, Department of Cardiology, Erlangen, Germany

Corresponding to:
Paul Schoenhagen, MD. Cardiovascular Imaging, Cleveland Clinic, 9500 Euclid Ave, Desk J 1-4, Cleveland, OH 44195.
Tel: 216-445-7579. E-mail: schoenp1@ccf.org.

Abstract

如果不及时治疗,有症状的严重主动脉狭窄(AS)的预后很差。通过心脏瓣膜置换手术可以达到良好的短期和长期治疗效果。但是,很多患有多重疾病、以及有着较高手术风险的老年患者却无法接受这种手术治疗。对这些特殊患者来说,经导管主动脉瓣置入术(TAVI)成为一个不错的选择。这种手术的特点是:无暴露和可视化的手术视野,并且在选择患者、手术准备以及手术过程本身,都依赖计算机扫描图像(CT)的引导。本文将介绍多排计算机断层扫描(MDCT)在TAVI手术过程中如何对主动脉瓣,主动脉根部以及髂动脉进行全面定位。

Keywords

主动脉瓣狭窄;经导管主动脉瓣置入术;成像技术;计算机断层扫描

Cardiovasc Diagn Ther 2011 Aug 29. DOI: 10.3978/j.issn.2223-3652.2011.08.01

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