JP2018531721A - 大動脈弁状態の情報伝達 - Google Patents
大動脈弁状態の情報伝達 Download PDFInfo
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- 210000001765 aortic valve Anatomy 0.000 title claims abstract description 327
- 210000002216 heart Anatomy 0.000 claims abstract description 54
- 238000001514 detection method Methods 0.000 claims abstract description 19
- 238000012545 processing Methods 0.000 claims description 59
- 238000000034 method Methods 0.000 claims description 34
- 230000036772 blood pressure Effects 0.000 claims description 23
- 230000000694 effects Effects 0.000 claims description 16
- 238000003384 imaging method Methods 0.000 claims description 10
- 230000033001 locomotion Effects 0.000 claims description 9
- 238000004590 computer program Methods 0.000 claims description 8
- 238000011282 treatment Methods 0.000 claims description 5
- 230000008569 process Effects 0.000 claims description 3
- 230000010339 dilation Effects 0.000 abstract description 10
- 230000010247 heart contraction Effects 0.000 abstract description 10
- 230000000747 cardiac effect Effects 0.000 abstract description 8
- 230000008602 contraction Effects 0.000 abstract description 7
- 230000010343 cardiac dilation Effects 0.000 abstract description 3
- 230000017531 blood circulation Effects 0.000 abstract description 2
- 238000005259 measurement Methods 0.000 abstract description 2
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- 230000008901 benefit Effects 0.000 description 6
- 230000000737 periodic effect Effects 0.000 description 5
- 239000012141 concentrate Substances 0.000 description 4
- 210000003709 heart valve Anatomy 0.000 description 4
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 239000002872 contrast media Substances 0.000 description 3
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- 210000004165 myocardium Anatomy 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
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- FGUUSXIOTUKUDN-IBGZPJMESA-N C1(=CC=CC=C1)N1C2=C(NC([C@H](C1)NC=1OC(=NN=1)C1=CC=CC=C1)=O)C=CC=C2 Chemical compound C1(=CC=CC=C1)N1C2=C(NC([C@H](C1)NC=1OC(=NN=1)C1=CC=CC=C1)=O)C=CC=C2 FGUUSXIOTUKUDN-IBGZPJMESA-N 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
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- 230000000977 initiatory effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 238000013507 mapping Methods 0.000 description 1
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- 210000004115 mitral valve Anatomy 0.000 description 1
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- 238000012552 review Methods 0.000 description 1
- 230000002195 synergetic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000000591 tricuspid valve Anatomy 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
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- A61B6/503—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of the heart
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Abstract
Description
他の例において、上記ECG信号画像は少なくとも部分的に透明である。
Claims (15)
- 大動脈弁介入治療を支援するための装置であって、
入力インターフェースと、
処理ユニットと、
を有し、
前記入力インターフェースは、i)心臓の大動脈弁のX線画像を表す画像データ信号及びii)前記心臓の拍動を示す時間的に変化する体表面信号を受信し、
前記処理ユニットは、前記大動脈弁の開状態を前記体表面信号に基づいて決定し、
前記処理ユニットは、更に、前記大動脈弁の前記決定された開状態の間において該大動脈弁を開いているとして通知するための表示信号成分を生成し、
前記処理ユニットは、更に、前記X線画像及び前記表示信号成分を有した表示画像を表す表示信号を生成する、
装置。 - 前記体表面信号が血圧信号である、請求項1に記載の装置。
- 前記体表面信号が前記心臓の電気的活動を示すECG信号である、請求項1に記載の装置。
- 前記処理ユニットが前記大動脈弁の閉状態を前記体表面信号に基づいて決定し、前記処理ユニットが、更に、前記大動脈弁の前記決定された閉状態に基づいて、該大動脈弁の前記決定された閉状態の間において該大動脈弁を閉じているとして通知するための他の表示信号成分を計算する、
請求項1ないし3の何れか一項に記載の装置。 - 前記処理ユニットが、前記大動脈弁の前記開状態及び/又は前記閉状態の開始及び終了を、前記体表面信号の対応する予め定められた閉開始信号経過及び/又は予め定められた閉終了信号経過に基づいて認識する、請求項4に記載の装置。
- 前記処理ユニットが、前記ECG信号に基づいてECG信号画像を表示するための第4表示信号成分を計算する、請求項3ないし5の何れか一項に記載の装置。
- 前記処理ユニットが前記表示信号成分を、前記大動脈弁の前記開状態が前記ECG信号画像において前記大動脈弁の開状態の開始と前記大動脈弁の開状態の終了との間にマーキングされるように計算する、請求項6に記載の装置。
- 前記処理ユニットが前記表示信号成分を、前記大動脈弁画像の少なくとも一部が前記大動脈弁の開状態の開始と前記大動脈弁の開状態の終了との間において第1カラーで強調されるように計算する、請求項1ないし7の何れか一項に記載の装置。
- 強調された前記一部の形状が、前記大動脈弁の前記開状態と前記閉状態との間の動きによりカバーされる領域を示す、請求項8に記載の装置。
- 前記処理ユニットは前記大動脈弁画像において前記大動脈弁の弁位置及びカテーテルの先端の先端位置を認識し、前記処理ユニットは前記先端位置と前記弁位置との間のカテーテル距離を計算し、前記処理ユニットは、前記カテーテル距離が予め定められた最小距離より小さい場合に前記信号成分及び/又は前記他の信号成分が前記表示信号の一部となることを可能にする一方、それ以外の場合に前記信号成分及び/又は前記他の信号成分が前記表示信号の一部となることを不能にする、請求項1ないし9の何れか一項に記載の装置。
- 音響出力ユニットを更に有し、前記処理ユニットは前記大動脈弁の前記決定された開状態に基づいて前記大動脈弁を該大動脈弁の開状態の間に開いているとして通知するための音響信号を計算し、前記音響出力ユニットは前記大動脈弁の前記開状態を前記音響信号に基づいて音響的に示す、請求項1ないし10の何れか一項に記載の装置。
- 大動脈弁の状態を通知するためのシステムであって、
− 請求項1ないし11の何れか一項に記載の装置と、
− 大動脈弁画像を取得するためのX線撮像ユニットと、
− 前記体表面信号bを供給するための体表面信号検出ユニットと、
− 前記表示画像を表示するための表示ユニットと、
を有する、システム。 - 大動脈弁の状態を通知する方法であって、
a) 心臓の大動脈弁のX線画像を表す画像データ信号を受信するステップと、
b) 前記心臓の拍動を示す時間的に変化する体表面信号を受信するステップと、
c) 前記大動脈弁の開状態を前記体表面信号に基づいて決定するステップと、
d) 前記大動脈弁の前記決定された開状態の間において該大動脈弁を開いているとして通知するための表示信号成分を生成するステップと、
e) 前記X線画像及び前記表示信号成分を有した表示画像を表す表示信号を生成するステップと、
を有する、方法。 - 請求項1ないし11の何れか一項に記載の装置又は請求項12に記載のシステムを制御するためのコンピュータプログラムであって、前記処理ユニットにより実行された場合に請求項13に記載の方法のステップを実行する、コンピュータプログラム。
- 請求項14に記載のコンピュータプログラムを記憶したコンピュータ読取可能な媒体。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP15191832 | 2015-10-28 | ||
EP15191832.3 | 2015-10-28 | ||
PCT/EP2016/075992 WO2017072262A1 (en) | 2015-10-28 | 2016-10-27 | Signaling of an aortic valve state |
Publications (3)
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JP2018531721A true JP2018531721A (ja) | 2018-11-01 |
JP2018531721A5 JP2018531721A5 (ja) | 2019-12-05 |
JP6873121B2 JP6873121B2 (ja) | 2021-05-19 |
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JP2018521389A Active JP6873121B2 (ja) | 2015-10-28 | 2016-10-27 | 大動脈弁状態の情報伝達 |
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US (1) | US11224394B2 (ja) |
EP (1) | EP3367896B1 (ja) |
JP (1) | JP6873121B2 (ja) |
CN (1) | CN108471974B (ja) |
WO (1) | WO2017072262A1 (ja) |
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JPWO2021225155A1 (ja) * | 2020-05-07 | 2021-11-11 |
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US9308087B2 (en) | 2011-04-28 | 2016-04-12 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US9345573B2 (en) | 2012-05-30 | 2016-05-24 | Neovasc Tiara Inc. | Methods and apparatus for loading a prosthesis onto a delivery system |
US9572665B2 (en) | 2013-04-04 | 2017-02-21 | Neovasc Tiara Inc. | Methods and apparatus for delivering a prosthetic valve to a beating heart |
CN108882981B (zh) | 2016-01-29 | 2021-08-10 | 内奥瓦斯克迪亚拉公司 | 用于防止流出阻塞的假体瓣膜 |
US20180099124A1 (en) * | 2016-10-06 | 2018-04-12 | Medtronic Vascular, Inc. | System and method for crossing a native heart valve with a guidewire |
WO2018090148A1 (en) | 2016-11-21 | 2018-05-24 | Neovasc Tiara Inc. | Methods and systems for rapid retraction of a transcatheter heart valve delivery system |
CA3073834A1 (en) | 2017-08-25 | 2019-02-28 | Neovasc Tiara Inc. | Sequentially deployed transcatheter mitral valve prosthesis |
US11737872B2 (en) | 2018-11-08 | 2023-08-29 | Neovasc Tiara Inc. | Ventricular deployment of a transcatheter mitral valve prosthesis |
CA3135753C (en) | 2019-04-01 | 2023-10-24 | Neovasc Tiara Inc. | Controllably deployable prosthetic valve |
EP3952792A4 (en) | 2019-04-10 | 2023-01-04 | Neovasc Tiara Inc. | HEART VALVE PROSTHESIS WITH NATURAL BLOOD FLOW |
AU2020279750B2 (en) | 2019-05-20 | 2023-07-13 | Neovasc Tiara Inc. | Introducer with hemostasis mechanism |
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CN108471974A (zh) | 2018-08-31 |
CN108471974B (zh) | 2022-02-18 |
WO2017072262A1 (en) | 2017-05-04 |
US11224394B2 (en) | 2022-01-18 |
EP3367896A1 (en) | 2018-09-05 |
US20190059839A1 (en) | 2019-02-28 |
JP6873121B2 (ja) | 2021-05-19 |
EP3367896B1 (en) | 2020-12-30 |
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