Abstract:
Tricuspid valve disease represents a major health problem that affects a wide proportion of heart failure patients with a significant prognostic impact. In recent years an increasing number of minimally invasive and transcatheter treatments have been developed. The choice of the optimal transcatheter device therapy needs a careful patient selection and a dedicated anatomic assessment, mainly based on echocardiographic and computed tomography evaluation. Moreover, cardiac magnetic resonance has an established role in the functional assessment of right heart chambers with relevant prognostic implications. In this review we describe the role of multimodality imaging in the tricuspid valve disease assessment with an intervention-oriented perspective, from the pre-operative planning for different devices to the intraprocedural guide during transcatheter edge-to-edge repair.
摘要:
三尖瓣疾病代表了一个主要的健康问题,它影响了很大比例的心力衰竭患者,并具有显着的预后影响。近年来,已经开发了越来越多的微创和经导管治疗。选择最佳的经导管器械治疗需要仔细的患者选择和专门的解剖评估。主要依据超声心动图和计算机断层扫描进行评价。此外,心脏磁共振在右心室功能评估中具有确定的作用,并具有相关的预后意义.在这篇综述中,我们以干预为导向的观点描述了多模态成像在三尖瓣疾病评估中的作用。从不同装置的术前规划到经导管边缘到边缘修复期间的术中引导。