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Echokardiographie während Katheterinterventionen

Neue Entwicklungen

Echocardiography during transcatheter interventions

New developments

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Zusammenfassung

Neue Kathetertechniken zur Behandlung von strukturellen Herzerkrankungen haben dazu geführt, dass immer mehr Patienten, die für einen operativen Eingriff nicht geeignet sind, interventionell behandelt werden können. Die Echokardiographie spielt dabei nicht nur für die präprozedurale Auswahl dieser Patienten, sondern insbesondere auch für das intraprozedurale Monitoring eine essenzielle Rolle, um eine sichere Durchführung der Interventionen zu gewährleisten. Echokardiographische 2-D- und 3-D-Techniken sind daher neben der konventionellen Röntgendurchleuchtung fester Bestandteil der Bildgebung im Herzkatheterlabor geworden. Diese Übersichtsarbeit soll neue Entwicklungen beim Einsatz der Echokardiographie während Katheterinterventionen im Kontext der aktuellen Literatur und neuer Empfehlungen darstellen.

Abstract

Interventional techniques for percutaneous treatment of structural heart disease have become an important option for patients ineligible for conventional operating procedures in cardiovascular medicine. Echocardiography plays an essential role not only for patient selection but also for guiding transcatheter interventions in order to safely accomplish the procedure. Echocardiographic 2D and 3D techniques next to conventional fluoroscopy have therefore become an integral part for monitoring interventional procedures in the catheter laboratory. This review aims to describe new developments for the application of echocardiography during transcatheter interventions in the context of the current literature and current recommendations.

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  1. Klinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum der Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland

    J. Balzer

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Balzer, J. Echokardiographie während Katheterinterventionen. Herz 38, 26–32 (2013). https://doi.org/10.1007/s00059-012-3750-6

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