Application Of Contrast Echocardiography In Invas›ve Cardiology

Öz

Contrast echocardiography by rendering better imaging of the borders of cardiac chambers is a useful tool for evaluating cardiac function, mass, myocardial vascularization, microvascular structure (small vessel vasculature) and viability. Contrast was first started to be used for patients with suboptimal image quality. It can be used in detecting defects in myocardial blood supply in patients with chest pain and determining the success of interventional procedures. It can also be of help in demonstrating myocardial viability after reperfusion treatment in patients who had myocardial infarction. It is expected to be used more widely in invasive cardiology for decision making, guiding and determining the success of the procedures. Advances in imaging techniques, development of contrast materials for evaluation of left system, contrast echocardiography may become a routine clinical practice.

Anahtar Kelimeler

• Echocardiography, contrast materials, interventional procedures.

Giriflimsel Kardiyolojide Kontrast Ekokardiyografi Kullan›m›

Öz

Kontrast ekokardiyografi kalp boflluklar›n›n s›n›rlar›n› daha net göstererek kardiyak fonksiyon, kitle, miyokard kanlanmas›, küçük damarsal yap›y› ve canl›l›¤› de¤erlendirmemize olanak sa¤lamaktad›r. Optimal görüntü elde edilemeyen hastalarda bu sorunu yenmek için kontrast kullan›lmaya bafllanm›flt›r. Gö¤üs a¤r›s› olan hastalarda miyokard beslenme kusurunun saptanmas›, müdahale karar›n›n al›nmas› ve müdahalenin baflar›s›n›n de¤erlendirilmesinde kullan›labilir. Kalp krizi geçiren hastalar›n reperfüzyon tedavisi sonras› miyokard canl›l›¤›n›n tespitinde de miyokardiyal kontrast eko'dan yararlan›labilir. Giriflimsel ifllemlere karar verme, k›lavuzluk ve ifllemin baflar›s›n› de- ¤erlendirmede daha fazla kullan›lmas› beklenilmektedir. Görüntüleme tekniklerinde geliflmeler, sol sistemi de¤erlendirmemize olanak sa¤layan kontrast maddeler gelifltikçe kontrast eko rutin prati¤imize daha fazla girecektir.

Anahtar Kelimeler

• Ekokardiyografi, kontrast maddeler, giriflimsel tedavi.

Kaynakça

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