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首页> 外文期刊>European heart journal cardiovascular Imaging >Assessment of aortic valve complex by three-dimensional echocardiography: A framework for its effective application in clinical practice
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Assessment of aortic valve complex by three-dimensional echocardiography: A framework for its effective application in clinical practice

机译:三维超声心动图评估主动脉瓣复合物:在临床实践中有效应用的框架

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摘要

In the current era of expanding catheter-based and complex repair procedures to treat aortic valve (AV) diseases, growing consideration is being given to understanding the functional anatomy of the AV complex. Echocardiography is the primary imaging modality to assess and follow-up AV diseases, and the recent three-dimensional (3D) capabilities allow clinicians to appreciate the functional complexity of the aortic root in the beating heart. Despite being subject to several limitations, 3D echocardiography (3DE) holds promise as a more suitable imaging backup for aortic interventions of mounting complexity and for circumventing some of their current complications. In this review, we discuss the key principles of 3DE for assessing the AV pathology and the incremental clinical benefits in comparison with conventional 2DE and Doppler echocardiography, justifying its implementation in the diagnostic workup of aortic diseases. In view of an effective clinical use, a brief section is dedicated to the acquisition modalities, display, and interpretation of various abnormalities by 3DE. Published on behalf of the European Society of Cardiology. All rights reserved.
机译:在当前扩展基于导管和复杂的修复程序以治疗主动脉瓣(AV)疾病的时代,人们越来越多地考虑了解AV复合体的功能解剖。超声心动图是评估和随访房颤疾病的主要影像学方式,最近的三维(3D)功能使临床医生可以欣赏跳动的心脏中主动脉根的功能复杂性。尽管受到一些限制,但3D超声心动图(3DE)仍有望作为一种更适合的成像备份,用于安装复杂性的主动脉介入手术和避免其当前的一些并发症。在这篇综述中,我们讨论了与常规2DE和多普勒超声心动图相比,3DE评估房室病理的关键原则以及增加的临床益处,从而证明了其在主动脉疾病诊断中的应用价值。鉴于有效的临床使用,一个简短的部分专门介绍了3DE的各种异常的采集方式,显示和解释。代表欧洲心脏病学会出版。版权所有。

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