Xalka qallafsan ee endoscopy caafimaad ee ogaanshaha iyo daaweynta faragelinta wadnaha iyo xididdada

1. Farsamada qallafsan ee faragelinta halbowlaha wadnaha

(1) Baaritaanka isku xirnaanta indhaha ee xididdada dhiigga (OCT)

Burburka tignoolajiyada:

10 μm xallinta: 10 jeer ayaa ka cad angiography dhaqameed (100-200 μm), oo waxay aqoonsan kartaa dhumucda koofiyada huurada ee nugul (<65 μm waxaa loo arkaa inay halis sare u tahay dillaac).

Falanqaynta huurada AI: sida nidaamka Imaging LightLab wuxuu si toos ah u kala saaraa qaybaha ay ka midka yihiin calcification iyo xudunta dufanka si loo hago xulashada stent.

Xogta caafimaad:

(2) Sawirka fiyuuska indhaha ee ultrasound ee xididdada dhiigga (IVUS-OCT)

Horumarka tignoolajiyada:

Boston Scientific Dragonfly OpStar tuubbada: Scan hal mar oo isku mar ah oo lahelo qaab dhismeedka derbiga xididada xididada (OCT) iyo culeeska huurada (IVUS).

Saxnaanta go'aan-qaadashada ilaalinta laanta cidhifyada ee dhaawacyada kala-goynta ayaa la hagaajiyay ilaa 95%.

2. Kacaanka endoscopic ee cudurada wadnaha qaab dhismeedka

(1) Sawirka ultrasonography ee ku-meel-gaadhka ah ee ku-meel-gaadhka ah (3D-TEE)

Qalliinka hagaajinta mitral valve:

Qaabaynta wakhtiga dhabta ah ee 3D waxay muujinaysaa meesha ay ka dillaacday seedaha (sida nidaamka Philips EPIQ CVx).

Saxnaanta isku toosinta cidhifyada inta lagu jiro abuurka MitraClip ayaa laga soo hagaajiyay 70% ilaa 98%.

Codsiyada cusub:

Cabbir dhexroorka furitaanka inta lagu jiro qalliinka xidhidhnimada bidix ee ku dheggan si loo yareeyo daadinta haraaga (iyada oo qayb ka yar 3mm ay gaareyso 100%).

(2) Intracardiac Endoscopy (ICE)

Ablation-ka soo noqnoqda ee fibrillada atrial:

Kateetarka 8Fr waxa uu ku qalabaysan yahay 2.9mm endoscope (sida AcuNav V) si loo arko si toos ah go'doominta xididdada sambabada.

Isbarbardhigga raajada fluoroscopy: wakhtiga qaliinka ayaa la soo gaabiyey 40%, dhaawaca hunguriga ayaa laga dhigay ebe eber.

3. Nidaamka aragga tooska ah ee faragelinta maraakiibta waaweyn

(1) Endoscopy Halbowlaha (EVIS)

Tilmaamaha Farsamada:

U fiirso dillaaca interlayerka iyada oo loo marayo kanaalka siligga hagaha adiga oo isticmaalaya 0.8mm ultrafine fiber optic mirror (sida Olympus OFP).

Cilmi-baarista Jaamacadda Stanford: Qaladka meelaynta ee nooca sandwich stent ayaa hoos uga dhacay 5.2mm ilaa 0.8mm.

Kordhinta florescence:

Udhow endoscopy infrared wuxuu muujinayaa halbowlayaasha intercostal ka dib duritaanka ICG si looga fogaado khatarta curyaanka.

(2) Ka saarida xididdada xididdada dhiigga ee xididdada dhiigga

Nidaamka thrombectomy ee farsamada:

Kateetarka AngioJet Zelante DVT oo ay weheliso muuqalka endoscopic ayaa leh heerka nadiifinta in ka badan 90%.

Marka la barbardhigo daawaynta thrombolytic, dhacdooyinka dhibaatooyinka dhiig-baxa ayaa hoos uga dhacay 12% ilaa 1%.

4. Sirdoonka iyo Tignoolajiyada Robotics

(1) Navigation Magnetic Endoscopy System

Stereotaxis Bilowgii MRI:

Kateetarka loo yaqaan 'endoscopic catheter' ee lagu hagayo Magnetic wuxuu dhammaystiraa 1mm leexashada saxda ah ee daawaynta wadarta xidhitaannada joogtada ah (CTO) ee halbowlayaasha wadnaha.

Heerka guusha ee qaliinka ayaa ka kordhay 60% hababka dhaqanka ilaa 89%.

(2) AI Saadaasha Hemodynamic

FFR-CT oo lagu daray endoscopy:

Xisaabinta wakhtiga dhabta ah ee kaydka kaydka socodka dhiigga ee ku salaysan CT iyo xogta endoscopic si looga fogaado abuurka stent ee aan loo baahnayn (qiimaha saadaasha xun 98%).

5. Tilmaamaha teknoolajiyada mustaqbalka

Baaritaanka molecular imaging endoscopy:

Nanoparticles Fluorescent oo beegsanaya VCAM-1 waxay calaamadiyaan nabarrada hore ee atherosclerosis.

Endoscope xididka xididada xun:

Kateetarka walxaha polylactic acid ayaa milma ka dib marka ay ka shaqeyso jidhka 72 saacadood.

Saadaasha Holographic:

Microsoft HoloLens 2 waxa ay mashruucisa sawirada holographic ee geedka halbowlaha halbowlaha ah, taas oo awood u siinaysa hawl aan shaashad lahayn.

Shaxda Isbarbardhigga Faa'iidada Clinical

Talooyinka fulinta

Xarunta Xanuunka Xabadka: Caadiga OCT+IVUS kateetarka sawirka isku dhafan.

Xarunta Valve: Samee qolka qalliinka isku-dhafan ee robot 3D-TEE.

Machadka cilmi baarista: Horumarinta dahaarka endoscopic ee dayactirka xididdada xididdada dhiigga.

Farsamooyinkani waxay keenayaan faragelinta wadnaha iyo xididdada xilliga daawaynta saxda ah iyada oo loo marayo saddex horumar oo waaweyn: sawir-qaadista heerka unugga, qalliinka indho la'aanta eber, iyo hagaajinta hawlaha jireed. Waxaa la filayaa in marka la gaaro 2028, 80% faragelinta halbowlaha ay gaari doonaan hagitaan laba geesood ah oo AI endoscopic ah.