Inferior Vena Cava Edge Tracking Echocardiography: A Promising Tool with Applications in Multiple Clinical Settings

Diagnostics

Gianfranco Sinagra¹  Davide Stolfo¹  Antonio De Luca¹  Nicola Riccardo Pugliese²  Vincenzo Russo³  Emilio Attena³  Guglielmo Gallone⁴  Gaetano Maria De Ferrari⁴  Stefano Albani⁵  Laura Contu⁵  Elisa Pelloni⁵  Paolo Scacciatella⁵  Lorenza Biava⁵  Caterina Bonino⁵  Francesco Antonini-Canterin⁶  Silvestro Roatta⁷  Luca Mesin⁸  Alberto Giannoni⁹ 

[1] Cardio-Thoraco-Vascular Department, Division of Cardiology and Postgraduate School in Cardiovascular Sciences, University of Trieste, 34127 Trieste, Italy;Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy;Department of Translational Medical Sciences, University of Campania Luigi Vanvitelli-Monaldi Hospital—A.O.R.N. Dei Colli, 80131 Naples, Italy;Division of Cardiology, Città della Salute e della Scienza, University of Turin, 10124 Turin, Italy;Division of Cardiology, Umberto Parini Regional Hospital, 11100 Aosta, Italy;Highly Specialized in Rehabilitation Hospital—ORAS S.p.A. of Motta di Livenza, 31045 Treviso, Italy;Integrative Physiology Lab, Department of Neuroscience, University of Turin, 10125 Turin, Italy;Mathematical Biology & Physiology, Department of Electronics and Telecommunications, Politecnico di Torino, 10129 Torino, Italy;Scuola Superiore Sant’Anna, 56127 Pisa, Italy;

关键词: inferior vena cava;    right atrial pressure;    caval index;    heart failure;    pulmonary hypertension;    edge tracking;   

DOI  :  10.3390/diagnostics12020427

来源: DOAJ

【 摘 要 】

Ultrasound (US)-based measurements of the inferior vena cava (IVC) diameter are widely used to estimate right atrial pressure (RAP) in a variety of clinical settings. However, the correlation with invasively measured RAP along with the reproducibility of US-based IVC measurements is modest at best. In the present manuscript, we discuss the limitations of the current technique to estimate RAP through IVC US assessment and present a new promising tool developed by our research group, the automated IVC edge-to-edge tracking system, which has the potential to improve RAP assessment by transforming the current categorical classification (low, normal, high RAP) in a continuous and precise RAP estimation technique. Finally, we critically evaluate all the clinical settings in which this new tool could improve current practice.

【 授权许可】

Unknown