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Erschienen in: Herzschrittmachertherapie + Elektrophysiologie 4/2012

01.12.2012 | Schwerpunkt

Ultraschall im elektrophysiologischen Herzkatheterlabor

verfasst von: Klaus-Jürgen Gutleben, Georg Nölker, Nikitas Lironis, Jens Günther

Erschienen in: Herzschrittmachertherapie + Elektrophysiologie | Ausgabe 4/2012

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Zusammenfassung

In den letzten Jahren hat der Bildgebungsbedarf im elektrophysiologischen Herzkatheterlabor enorm zugenommen. Fluoroskopie und Angiographie werden häufig durch präprozedurale Magnetresonanz- oder Computertomographien sowie elektroanatomische Mappingverfahren ergänzt. Nachteilig sind eine unzureichende Auflösung der Weichgewebe in Echtzeit sowie die notwendige Strahlen- und Kontrastmittelbelastung. Ultraschalltechniken zeichnen sich dagegen durch eine hohe Auflösung von Weichteilgewebe und die Möglichkeit einer intraprozeduralen Echtzeit-Bildgebung aus. Alle relevanten anatomischen Strukturen und deren Beziehungen zu eingebrachten Kathetern können jederzeit intraprozedural evaluiert werden. Weiterhin sind funktionelle Analysen, wie Flussmessungen und ein Monitoring im Hinblick auf Komplikationen möglich. Die transösophageale Echokardiographie (TEE) und besonders die intrakardiale Echokardiographie (ICE) tragen heute erheblich zur Effektivität und Sicherheit komplexer Prozeduren bei. Die ICE hat sich bei transseptalen Prozeduren wie Vorhofflimmerablationen, aber auch bei Ablationen von ventrikulären Tachykardien als sinnvoll erwiesen und wird von führenden Fachgesellschaften empfohlen.
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Metadaten
Titel
Ultraschall im elektrophysiologischen Herzkatheterlabor
verfasst von
Klaus-Jürgen Gutleben
Georg Nölker
Nikitas Lironis
Jens Günther
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
Herzschrittmachertherapie + Elektrophysiologie / Ausgabe 4/2012
Print ISSN: 0938-7412
Elektronische ISSN: 1435-1544
DOI
https://doi.org/10.1007/s00399-012-0235-5

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