岡山大学病院IVRセンター小児循環器科Department of Pediatric Cardiology, Interventional Radiology Center, Okayama University Hospital ◇ Okayama, Japan
心エコー検査，CT, MRIなどの非侵襲的検査が格段に進歩した現在では，心臓カテーテル検査の役割は以前とは異なってきている．しかし，心拍出量やシャント率，血管抵抗の算出などの血行動態評価に関して心臓カテーテル検査は依然としてGold standardである．心臓カテーテル検査を行う前には患者の病歴，臨床所見，非侵襲的検査所見によって得られた情報から，麻酔法，血管アクセス，カテーテル操作，血管造影などをどのように行うか計画を建てる必要があり，カテーテル検査の目的をはっきりさせておくことは重要である．本稿では若手医師を対象に心臓カテーテル検査の基本的な考え方を概説する．
As the sophistication of noninvasive imaging such as echocardiography, computed tomography and cardiac magnetic resonance imaging improves, the role of cardiac catheterization has evolved. However, cardiac catheterization remains the gold standard for evaluating hemodynamic data, including assessment of cardiac output, intra-cardiac shunting, and measurement of vascular resistances. The information from the patient’s history, clinical data, and the non-invasive studies prior to the catheterization should be obtained and the pre-catheterization planning, including anesthetic management, vascular access, catheter procedure, angiography, and so on should be done. It is important to define the specific questions to be answered from the cardiac catheterization. This review is intended to provide basic principles and pitfalls of cardiac catheterization for trainee cardiologists.
Key words: cardiac catheterization; angiography; hemodynamic study; fick principle; pre-catheterization planning
© 2017 日本Pediatric Interventional Cardiology学会© 2017 Japanese Society of Pediatric Interventional Cardiology
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This page was last modified on 2017-08-30T10:36:32.21+09:00
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