影像学在卵圆孔未闭临床诊断和介入封堵中的应用

The application of imaging techniques in the clinical diagnosis and transcatheter closure of patent foramen ovale

卵圆孔未闭(PFO)近年来已经逐渐成为临床热点之一,其引起的反常栓塞、不明原因头痛、头晕等神经系统症状逐渐受到广泛的重视,特别是PFO的诊断和介入封堵治疗涉及神经科、影像科、介入科等多学科医生团队的配合,国内近年来也有多项相关的指南发布。文章就近年来包括超声、心脏计算机断层扫描、数字减影血管造影等多种影像技术在PFO诊断和介入封堵中的应用进行述评。

Patent foramen ovale(PFO)has increasingly come to clinical focus in recent years.Notably,paradoxical embolism,unexplained headaches,and episodes of dizziness related to PFO have garnered increasing attention.The diagnosis and transcatheter closure treatment of PFO require the collaboration of a multidisciplinary team,encompassing neurology,radiology,and interventional therapy.Several relevant guidelines have been issued domestically in recent years.This article reviews the utilization of various imaging technologies,including echocardiography,computed tomography,and digital subtraction angiography,in the diagnosis and transcatheter closure of PFO.