Igisubizo kibangamiye endoskopi yubuvuzi mugusuzuma no kuvura umutima

1 technology Ikoranabuhanga rihungabanya imiyoboro yimitsi

(1) Imitsi itwara optique coherence tomografiya (OCT)

Ihungabana ry'ikoranabuhanga:

10 μ m ikemurwa: inshuro 10 zisobanutse kurenza angiografiya gakondo (100-200 μ m), kandi irashobora kwerekana umubyimba wa plaque fibre wangiritse (<65 μ m ifatwa nkibyago byinshi byo guturika).

Isesengura rya plaque ya AI: nka LightLab Imaging sisitemu ihita itondekanya ibice nka calcification na lipid core yo kuyobora guhitamo stent.

Amakuru y’ubuvuzi:

(2) Ultrasound ultrasound optique fusion imaging (IVUS-OCT)

Iterambere ry'ikoranabuhanga:

Boston Scientific Dragonfly OpStar catheter: Gusikana rimwe icyarimwe kugura imiterere y'urukuta rw'imitsi (OCT) n'umutwaro wa plaque (IVUS).

Ukuri kurwego rwo kurinda amashami gufata ibyemezo byo gutandukanya ibikomere byahinduwe kugeza 95%.

2 revolution Impinduramatwara ya endoskopi mu ndwara zifata umutima

(1) Transesophageal endoscopic ultrasonography (3D-TEE)

Mitral valve yo gusana kubaga inzira:

Igihe nyacyo cyerekana 3D cyerekana ahantu hacitse (nka sisitemu ya Philips EPIQ CVx).

Ukuri guhuza impande mugihe cyo gutera MitraClip byahinduwe kuva kuri 70% kugeza kuri 98%.

Porogaramu nshya:

Gupima diameter yo gufungura mugihe cyo kubagwa kwa atrial appendage occlusion kubagwa kugirango ugabanye ibisigara (hamwe na munsi ya 3mm igera 100%).

(2) Intracardiac Endoscopy (ICE)

Fibrillation ya Atriel radiofrequency gukuraho:

Catheter ya 8Fr ifite ibikoresho bya endoskopi ya 2.9mm (nka AcuNav V) kugirango ibone amashusho yimitsi iva mu bwonko ishobora kwigunga.

Kugereranya fluoroscopi ya X-ray: igihe cyo kubagwa cyagabanutseho 40%, naho imvune zo mu nda zaragabanutse kugera kuri zeru.

3 scheme Gahunda itaziguye yo kwerekana imiyoboro minini

(1) Aortic Endoscopy (EVIS)

Ibyingenzi bya tekinike:

Itegereze guturika hagati ukoresheje umuyoboro wogukoresha ukoresheje 0.8mm ya ultrafine fibre optique (nka Olympus OFP).

Ubushakashatsi bwa kaminuza ya Stanford: Ikosa ryimyanya ya B yo mu bwoko bwa sandwich yagabanutse kuva kuri 5.2mm igera kuri 0.8mm.

Kwiyongera kwa Fluorescence:

Hafi ya infrarafarike endoskopi yerekana imiyoboro y'amaraso nyuma yo guterwa ICG kugirango wirinde ibyago byo paraplegia.

(2) Gukuraho imitsi ya endoskopi ya trombus

Sisitemu ya trombectomy sisitemu:

AngioJet Zelante DVT catheter ifatanije na endoscopic visualisation ifite igipimo kirenga 90%.

Ugereranije no kuvura trombolytike, ibibazo byo kuva amaraso byagabanutse kuva kuri 12% bigera kuri 1%.

4 Technology Ubuhanga bwubwenge na robo

(1) Sisitemu ya Magnetic Navigation Endoscopy Sisitemu

Stereotaxis Itangiriro MRI ：

Catheter ya magnetiki iyobowe na catheter yuzuza 1mm itunganijwe neza kugirango ivurwe igihe kirekire (CTO) yimitsi yimitsi.

Intsinzi yo kubaga yavuye kuri 60% muburyo gakondo igera kuri 89%.

(2) Ubuhanuzi bwa AI Hemodynamic

FFR-CT ihujwe na endoskopi:

Kubara igihe nyacyo cyo kugabanura amaraso ashingiye kuri CT hamwe na data ya endoskopi kugirango wirinde guterwa bitari ngombwa (agaciro keza ko guhanura 98%).

5 direction Icyerekezo cy'ikoranabuhanga kizaza

Molecular imaging endoscopy:

Fluorescent nanoparticles yibasira ikirango cya VCAM-1 hakiri kare atherosclerose.

Endoscope yangirika:

Catheter ya aside polylactique irashonga nyuma yo gukora mumubiri amasaha 72.

Icyerekezo cya Holographic:

Microsoft HoloLens imishinga 2 yerekana amashusho ya holographiki yigiti cyimitsi ya coronary, ituma imikorere idafite ecran.

Imbonerahamwe yo Kugereranya Inyungu

Ibyifuzo byo gushyira mubikorwa

Ububabare bwo mu gatuza: Bisanzwe OCT + IVUS igizwe na catheter.

Valve Centre: Kubaka icyumba cyo gukoreramo cya robot ya 3D-TEE.

Ikigo cyubushakashatsi: Gutezimbere impuzu ya endoskopique yo gusana imitsi ya endoteliyale.

Izi tekinoroji zirimo kuzana umutima-mitsi mugihe cyubuvuzi bwuzuye binyuze mubintu bitatu byingenzi: amashusho yerekana urwego rwimikorere, imikorere ya zeru zeru, hamwe no gusana imikorere ya physiologiya. Biteganijwe ko muri 2028, 80% byimikorere ya coronary bizagera kuri AI endoskopi yubuyobozi bubiri.