二尖瓣是一个复杂的三维结构。二尖瓣返流可通过替换原发性瓣膜（TMVR）或修复原发性瓣膜（TMVr）来治疗。使用3mensio二尖瓣工作流可以完成这两种手术的计划。只需轻轻一点，我们就能确定二尖瓣环的方向。我们可以做辅助二尖瓣环追踪来了解环的三维形状和尺寸。

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为置换术或修复术专门开发了附加功能。与周围结构如主动脉瓣和冠状血管的关系可以很快得到评估。可以在ED和ES阶段之间进行简单的比较。进近路径可使用经中隔或直接进入进近模块进行评估。

 

主要成果

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 总述

 •二尖瓣、左心室和左心房的动态可视化

 •二尖瓣的尺寸

 •最佳C臂角度

 •房间隔、左心口、二尖瓣环和/或

   腔静脉之间的解剖关系

 •左心房或左心室容积

 

TMVR

 •主动脉二尖瓣角

 •评估新LVOT

 •使用虚拟设备放置设备

 

TMVr

 •距离环和冠状血管

 •锚定位置评估

 

主要产品特点

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 •PACS连接

 •容易追踪二尖瓣环并评估其复杂性

 •专用锚固工作流程（用于修复方法）

 •经尖端和经中隔入路模块

 •.STL导入

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Key publications:

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• Abeldhani M et al. A simplified and reproducible method to size the mitral annulus: implications for transcatheter mitral valve replacement. European Heart Journal – Cardiovascular imaging 2016.

• Van Mieghem N, Rodríguez-Olivares R, et al. Computed tomography optimised fluoroscopy guidance for transcatheter mitral therapies. EuroIntervention 2016;11:1428-1431

• Piazza N et al. Quantitative multi-slice computed tomography assessment of the mitral valvular complex for transcatheter mitral valve interventions part 1: systematic measurement methodology and inter-observer variability. EuroIntervention 2015; 11.

• N. Piazza et al. Quantitative multi-slice computed tomography assessment of the mitral valvular complex for transcatheter mitral valve interventions part 2: geometrical measurements in patients with functional mitral regurgitation. EuroIntervention 2015; 11.

• Blanke P, Dvir D, Cheung A, et al. Mitral annular evaluation with CT in context of transcatheter mitral valve replacement. J Am Coll Cardiol Img. 2015; 8(5):612

• Blanke P, Dvir D, Naoum C et al. Prediction of fluoroscopic angulation and coronary sinus location by CT in the context of transcatheter mitral valve implantation. J Cardiovasc CT 2015; 9:183-192

• Gordic S, Nguyen-Kim TD, Manka R et al. Sizing the mitral annulus in healthy subjects and patients with mitral regurgitation: 2D versus 3D measurements from cardiac CT. Int J Cardiovasc Imaging 2014;30:389-98

• Alkadhi H, Desbiolles L, Stolzmann P et al. Mitral annular shape, size, and motion in normals and in patients with cardiomyopathy: evaluation with computed tomography. Invest Radiol 2009;44:218-25