Te otinga whakararu o te endoscopy hauora i roto i te tātaritanga wawaotanga cardiovascular me te maimoatanga

1, Hangarau whakararu o te wawaotanga o te arai coronary

(1) Intravascular optical coherence tomography (OCT)

Porearea Hangarau:

10 μm taumira: 10 nga wa marama ake i te angiography tuku iho (100-200 μm), ka taea te tautuhi i te whakaraerae o te whakaraerae i te matotoru o te potae muka (<65 μm ka kiia he nui te tupono mo te pakaru).

Ko te tātari tohu tohu AI: penei i te punaha Whakaahua LightLab ka whakarōpū aunoa i nga waahanga penei i te taatai me te matua lipid hei arahi i te kowhiringa stent.

Raraunga haumanu:

(2) Intravascular ultrasound optical fusion atahanga (IVUS-OCT)

Te pakaruhanga hangarau:

Boston Scientific Dragonfly OpStar catheter: Karapa kotahi te tango i te wa kotahi o te hanganga taiepa vascular (OCT) me te taumahatanga tohu (IVUS).

Kua pai ake te tika o te whakatau i te whakamarumaru i te taha o te peka mo nga wharanga rua ki te 95%.

2, Ko te huringa endoscopic i roto i te mate ngakau hanganga

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

Navigation pokanga whakatika takirere Mitral:

Ko te whakatauira 3D mo te wa tuturu e whakaatu ana i te waahi o te pakaru o nga uaua (penei i te punaha Philips EPIQ CVx).

Ko te tika o te whakatikatika i nga taha i te wa o te whakaurunga o MitraClip kua pai ake mai i te 70% ki te 98%.

Nga tono auaha:

Inehia te diameter o te whakatuwheratanga i te wa e pokai ana te apiti o te atrial maui ki te whakaiti i te toenga o te rerenga (he iti iho i te 3mm tae atu ki te 100%).

(2) Whakamutunga Rorohiko (ICE)

Atrial fibrillation radiofrequency ablation:

Ko te catheter 8Fr he mea whakauru ki te endoscope 2.9mm (pērā i te AcuNav V) mo te tirohanga tika o te wehenga o te uaua o te uaua.

Te whakatairitetanga o te fluoroscopy X-ray: i whakapotohia te wa pokanga e 40%, ka heke te whara o te esophage ki te kore.

3、 Kaupapa whakakitenga tika mo te wawaotanga o nga waka nui

(1) Aortic Endoscopy (EVIS)

Nga Tohu Hangarau:

Matakihia te pakarutanga o te taarua i roto i te hongere waea arahi ma te whakamahi i te whakaata whatu 0.8mm ultrafine (pēnei i te Olympus OFP).

Te rangahau o te Whare Wananga o Stanford: Ko te hapa tuunga o te momo B-momo hanawiti i heke mai i te 5.2mm ki te 0.8mm.

Whakanuia te korikori:

Ko te endoscopy infrared tata e whakaatu ana i nga uaua-a-iwi i muri i te werohanga ICG hei karo i te tupono o te paraplegia.

(2) Te tango i te thrombus endoscopic Venous

Pūnaha thrombectomy miihini:

Ko te AngioJet Zelante DVT catheter i honoa me te whakakitenga endoscopic he neke atu i te 90%.

Ka whakatauritea ki te whakamaarama thrombolytic, ka heke te mate o te mate toto mai i te 12% ki te 1%.

4. Hangarau Maramataka me te Robotics

(1) Pūnaha Whakamutunga Whakatere Aukume

Stereotaxis Genesis MRI:

Ko te catheter endoscopic arataki aukume ka oti te hurihanga 1mm tika mo te maimoatanga o te aukati katoa (CTO) o nga uaua korokoro.

Kua piki ake te angitu o te pokanga mai i te 60% i roto i nga tikanga tuku iho ki te 89%.

(2) AI Hemodynamic Prediction

FFR-CT i honoa me te endoscopy:

Te tataunga o te hautanga rahui rere toto i runga i te CT me nga raraunga endoscopic hei karo i te whakaurunga stent (he uara matapae kino 98%).

5、 Nga tohutohu hangarau a meake nei

Endoscopy atahanga molecular:

Ko nga matūriki kareoro e aro ana ki te tapanga VCAM-1 mo nga patunga o te atherosclerosis moata.

Endoscope vascular degradable:

Ka memeha te catheter rauemi waikawa polylactic i muri i te mahi i roto i te tinana mo te 72 haora.

Whakaterenga matapae Holographic:

Ka mahia e Microsoft HoloLens 2 nga whakaahua holographic o te rakau arai korokoro, e taea ai te mahi kore mata.

Ripanga Whakataurite Hua Haumanu

Nga whakaaro ara whakatinana

Pokapū mamae o te uma: Paerewa OCT+IVUS catheter whakaahua hiato.

Pokapū takirere: Hangaia he ruma whakahaere karetao 3D-TEE.

Te Whare Rangahau: Te whakawhanake i nga paninga endoscopic mo te whakatikatika endothelial vascular.

Ko enei hangarau kei te kawe mai i te wawaotanga o te mate ngakau ki roto i te waa o te rongoa tuuturu na roto i nga waahanga nui e toru: te atahanga taumata pūtau, te mahi matapo kore, me te whakatikatika i te mahi tinana. E matapaetia ana hei te tau 2028, 80% o nga wawaotanga coronary ka tutuki i te arataki rua endoscopic AI.