作者：潘湘斌
页数：117
出版社：北京大学医学出版社
出版日期：2020
ISBN：9787565922404
电子书格式：pdf/epub/txt
内容简介
Ihis book provides an extensive discussion of echocardiography-guided percutaneous interventional techniques for clinical practitioners，including cardiologists， interventional physicians， surgeons and specialist training candidates. It allows readers to gain a thorough understanding of interpreting echocardiography-guided procedures，which not only protect patients from pain and other complications associated with conventional surgery， but also obviate the use of fluo-roscopy or contrast agents and so avoid radiation damage and the risks of allergy or renal function impairment. Further， these proce-dures could help to save patients in areas lacking medical resources.The book first demonstrates the substitution of transesophageal for transthoracic echocardiography to avoid intubation under general anesthesia， and then presents key technical and practical aspects of echoguided percutaneous interventions for structural heart diseases，such as ASD， VSD， PDA， PS， MS， AS and CoA. Lastly， it explores the lessons learned in echocardiography， anesthesia and postprocedural management of echoguided percutaneous interventions.
目录
1 Introduction
2 Anesthesia Management in Echocardiography-Guided Percutaneous Interventions for Structural Heart Disease
2.1 Preparations Before Anesthesia
2.1.1 Pre-anesthetic Visit
2.1.2 Pre-anesthetic Fasting
2.1.3 Pre-anesthetic Medication
2.1.4 Anesthesia Monitoring and Anesthetic Drugs
2.2 Management of Anesthesia
2.2.1 Anesthesia Management in Echocardiography-Guided Interventional Therapy for Septal Defect and Patent Ductus Arteriosus
2.2.2 Anesthesia Management in Echocardiography-Guided Interventional Therapy for Valvular Heart Diseases
2.2.3 Anesthesia Management in Echocardiography-Guided Percutaneous Left Atrial Appendage Occlusion and Aortic Stent Implantation
2.2.4 Infection Control and Anticoagulation
2.2.5 Management of Acute Pain After Echocardiography-Guided Percutaneous Interventional Therapy
2.2.6 Challenges in Anesthesia
2.3 Prevention and Treatment of Complications Associated with Interventional Therapy
2.3.1 Arrhythmia
2.3.2 Valvular Regurgitation
2.3.3 Hypotension
2.3.4 Cardiac Insufficiency
2.3.5 Hypoxic Spells
2.3.6 Pharyngeal and Esophageal Injury
2.3.7 Thrombosis
3 Echocardiography in Percutaneous Interventional Therapy for Structural Heart Disease
3.1 General Considerations
3.1.1 Overview
3.1.2 Transthoracic Echocardiography (TTE)
3.1.3 Transesophageal Echocardiography (TEE)
3.1.4 Value of Echocardiography in Percutaneous Interventional Therapy for Congenital Heart Disease
3.2 Use of Echocardiography in Percutaneous Interventional Therapy
for Atrial Septal Defect
3.2.1 Pre-procedural Echocardiographic Diagnosis of ASD
3.2.2 Echocardiography for Monitoring ASD Closure
3.2.3 Follow-Up Using Echocardiography After ASD Closure
3.3 Use of Echocardiography in Percutaneous Balloon Pulmonary Valvuloplasty for Pulmonary Stenosis
3.3.1 Pre-procedural Diagnosis of Pulmonary Stenosis
3.3.2 Key Points of Echocardiographic Evaluation Before Pulmonary Stenosis Valvuloplasty
3.3.3 Echocardiographic Guidance and Monitoring During Pulmonary Valvuloplasty
3.3.4 Echocardiographic Follow-Up After Pulmonary Valvuloplasty Procedure
3.4 Use of Echocardiography in Percutaneous Interventions for Patent Ductus Arteriosus (PDA)
3.4.1 Pre-procedural Echocardiographic Diagnosis of PDA
3.4.2 Echocardiographic Guidance During PDA Closure Procedure
3.4.3 Echocardiographic Follow-Up After PDA Closure
3.5 Use of Echocardiography in Percutaneous Closure of Ventricular Septal Defect
3.5.1 Pre-procedural Echocardiographic Diagnosis of VSD
3.5.2 Key Points on Echocardiographic Evaluation Before Interventional VSD Closure
3.5.3 Echocardiographic Monitoring During VSD Closure
3.5.4 Echocardiography for Follow-Up of Ventricular Septal Defect Occlusion and Complications
3.6 Use of Echocardiography in Left Atrial Appendage Occlusion
3.6.1 Pre-procedural Echocardiographic Diagnosis and Cases Screen
3.6.2 Echocardiography for Monitoring Left Atrial Appendage Occlusion
3.6.3 Echocardiography for Follow-Up of Left Atrial Appendage Occlusion
3.7 Use of Echocardiography in Percutaneous Mitral Valve Stenosis Valvuloplasty
3.7.1 Echo Assessment ofMitral Stenosis
3.7.2 Pre-procedural TEE Screening for Mitral Stenosis: Mostly for Adult Acquired Rheumatic Mitral Stenosis
3.7.3 Echocardiography in Percutaneous Balloon Mitral Valvuloplasty
3.7.4 Echocardiographic Follow-Up After Mitral Stenosis Valvuloplasty
3.8 Use of Echocardiography in Percutaneous Aortic Stenosis Valvuloplasty
3.8.1 Pre-procedural Echocardiographic Diagnosis of Congenital Aortic Stenosis
3.8.2 Key Points on Echocardiographic Evaluation Before Balloon Dilatation for Aortic Stenosis
3.8.3 Echocardiographic Guidance and Monitoring During Balloon Dilation for Aortic Stenosis
3.8.4 Echocardiographic Assessment after Aortic Valvuloplasty
4 Echocardiography-Guided Interventional Atrial Septal Defect and Patent Foramen Ovale Closure by Femoral Vein Approach
4.1 Anatomical Features
4.2 Pathophysiology
4.3 Indications and Contraindications for ASD Closure
4.4 Patent Foramen Ovale
4.5 Pre-procedural Preparation
4.6 Procedure
4.6.1 TTE-Guided Interventional Closure of ASD via Femoral Vein Approach
5 Echocardiography-Guided Percutaneous Atrial Septal Defect Closure through Jugular Vein Approach
6 Echocardiography-Guided Interventional Closure of Perimembranous Ventricular Septal Defect by Femoral Artery Approach
7 Echocardiography-Guided Interventional Closure of Perimembranous Ventricular Septal Defects by Jugular Vein Approach
8 Echocardiography-Guided Interventional Patent Ductus Arteriosus Closure by Femoral Artery Approach
9 Echocardiography-Guided Interventional Patent Ductus Arteriosus Closure by Femoral Vein Approach
10 Echocardiography-Guided Percutaneous Interventions for Pulmonary Valve Stenosis
11 Echocardiography-Guided Percutaneous Interventions for Aortic Valve Stenosis
12 Echocardiography-Guided Percutaneous Interventions for Mitral Valve Stenosis
13 Echocardiography-Guided Percutaneous Interventions for Left Atrial Appendage Occlusion
14 Echocardiography-Guided Percutaneous Interventions for Coarctation of Aorta
15 Post-procedural Management of Echocardiography-Guided Percutaneous Intervention
2 Anesthesia Management in Echocardiography-Guided Percutaneous Interventions for Structural Heart Disease
2.1 Preparations Before Anesthesia
2.1.1 Pre-anesthetic Visit
2.1.2 Pre-anesthetic Fasting
2.1.3 Pre-anesthetic Medication
2.1.4 Anesthesia Monitoring and Anesthetic Drugs
2.2 Management of Anesthesia
2.2.1 Anesthesia Management in Echocardiography-Guided Interventional Therapy for Septal Defect and Patent Ductus Arteriosus
2.2.2 Anesthesia Management in Echocardiography-Guided Interventional Therapy for Valvular Heart Diseases
2.2.3 Anesthesia Management in Echocardiography-Guided Percutaneous Left Atrial Appendage Occlusion and Aortic Stent Implantation
2.2.4 Infection Control and Anticoagulation
2.2.5 Management of Acute Pain After Echocardiography-Guided Percutaneous Interventional Therapy
2.2.6 Challenges in Anesthesia
2.3 Prevention and Treatment of Complications Associated with Interventional Therapy
2.3.1 Arrhythmia
2.3.2 Valvular Regurgitation
2.3.3 Hypotension
2.3.4 Cardiac Insufficiency
2.3.5 Hypoxic Spells
2.3.6 Pharyngeal and Esophageal Injury
2.3.7 Thrombosis
3 Echocardiography in Percutaneous Interventional Therapy for Structural Heart Disease
3.1 General Considerations
3.1.1 Overview
3.1.2 Transthoracic Echocardiography (TTE)
3.1.3 Transesophageal Echocardiography (TEE)
3.1.4 Value of Echocardiography in Percutaneous Interventional Therapy for Congenital Heart Disease
3.2 Use of Echocardiography in Percutaneous Interventional Therapy
for Atrial Septal Defect
3.2.1 Pre-procedural Echocardiographic Diagnosis of ASD
3.2.2 Echocardiography for Monitoring ASD Closure
3.2.3 Follow-Up Using Echocardiography After ASD Closure
3.3 Use of Echocardiography in Percutaneous Balloon Pulmonary Valvuloplasty for Pulmonary Stenosis
3.3.1 Pre-procedural Diagnosis of Pulmonary Stenosis
3.3.2 Key Points of Echocardiographic Evaluation Before Pulmonary Stenosis Valvuloplasty
3.3.3 Echocardiographic Guidance and Monitoring During Pulmonary Valvuloplasty
3.3.4 Echocardiographic Follow-Up After Pulmonary Valvuloplasty Procedure
3.4 Use of Echocardiography in Percutaneous Interventions for Patent Ductus Arteriosus (PDA)
3.4.1 Pre-procedural Echocardiographic Diagnosis of PDA
3.4.2 Echocardiographic Guidance During PDA Closure Procedure
3.4.3 Echocardiographic Follow-Up After PDA Closure
3.5 Use of Echocardiography in Percutaneous Closure of Ventricular Septal Defect
3.5.1 Pre-procedural Echocardiographic Diagnosis of VSD
3.5.2 Key Points on Echocardiographic Evaluation Before Interventional VSD Closure
3.5.3 Echocardiographic Monitoring During VSD Closure
3.5.4 Echocardiography for Follow-Up of Ventricular Septal Defect Occlusion and Complications
3.6 Use of Echocardiography in Left Atrial Appendage Occlusion
3.6.1 Pre-procedural Echocardiographic Diagnosis and Cases Screen
3.6.2 Echocardiography for Monitoring Left Atrial Appendage Occlusion
3.6.3 Echocardiography for Follow-Up of Left Atrial Appendage Occlusion
3.7 Use of Echocardiography in Percutaneous Mitral Valve Stenosis Valvuloplasty
3.7.1 Echo Assessment ofMitral Stenosis
3.7.2 Pre-procedural TEE Screening for Mitral Stenosis: Mostly for Adult Acquired Rheumatic Mitral Stenosis
3.7.3 Echocardiography in Percutaneous Balloon Mitral Valvuloplasty
3.7.4 Echocardiographic Follow-Up After Mitral Stenosis Valvuloplasty
3.8 Use of Echocardiography in Percutaneous Aortic Stenosis Valvuloplasty
3.8.1 Pre-procedural Echocardiographic Diagnosis of Congenital Aortic Stenosis
3.8.2 Key Points on Echocardiographic Evaluation Before Balloon Dilatation for Aortic Stenosis
3.8.3 Echocardiographic Guidance and Monitoring During Balloon Dilation for Aortic Stenosis
3.8.4 Echocardiographic Assessment after Aortic Valvuloplasty
4 Echocardiography-Guided Interventional Atrial Septal Defect and Patent Foramen Ovale Closure by Femoral Vein Approach
4.1 Anatomical Features
4.2 Pathophysiology
4.3 Indications and Contraindications for ASD Closure
4.4 Patent Foramen Ovale
4.5 Pre-procedural Preparation
4.6 Procedure
4.6.1 TTE-Guided Interventional Closure of ASD via Femoral Vein Approach
5 Echocardiography-Guided Percutaneous Atrial Septal Defect Closure through Jugular Vein Approach
6 Echocardiography-Guided Interventional Closure of Perimembranous Ventricular Septal Defect by Femoral Artery Approach
7 Echocardiography-Guided Interventional Closure of Perimembranous Ventricular Septal Defects by Jugular Vein Approach
8 Echocardiography-Guided Interventional Patent Ductus Arteriosus Closure by Femoral Artery Approach
9 Echocardiography-Guided Interventional Patent Ductus Arteriosus Closure by Femoral Vein Approach
10 Echocardiography-Guided Percutaneous Interventions for Pulmonary Valve Stenosis
11 Echocardiography-Guided Percutaneous Interventions for Aortic Valve Stenosis
12 Echocardiography-Guided Percutaneous Interventions for Mitral Valve Stenosis
13 Echocardiography-Guided Percutaneous Interventions for Left Atrial Appendage Occlusion
14 Echocardiography-Guided Percutaneous Interventions for Coarctation of Aorta
15 Post-procedural Management of Echocardiography-Guided Percutaneous Intervention
