基于增强现实/混合现实的导航技术在心脏介入手术中的应用:系统评价OA

Cardiovascular diseases represent a major global health burden,for which percutaneous intervention has become an essential therapeutic strategy in clinical practice.However,conventional cardiac interventional procedures still rely on two-dimensional imaging,which inherently suffers from limitations such as insufficient spatial information,restricted procedural precision,and radiation exposure.Previous studies have demonstrated that the augmented reality/mixed reality-based navigation technology can facilitate the visualization of complex cardiac anatomies,potentially enhancing the accuracy of preoperative measurements,improving intraoperative catheter positioning,and reducing contrast agent consumption.Nevertheless,the application and research progress of the augmented reality/mixed reality-based technology in cardiac interventional surgeries are still lacking systematic analysis.This review systematically summarizes the current applications and research progress of the augmented reality/mixed-based navigation technology in various cardiac procedures,including atrial septal defect closure,transcatheter aortic valve replacement,left atrial appendage occlusion,radiofrequency ablation,and mitral valve interventions,with a focus on in-depth discussions regarding three key stages:preoperative planning,intraoperative navigation,and postoperative assessment,aiming to provide a reference for the clinical application and future research of this technology in cardiac interventional procedures.