Evaluation of vegetation size and its relationship with septic pulmonary embolism in tricuspid valve infective endocarditis: A real time 3<scp>DTEE</scp> study

Utsunomiya, Hiroto; Berdejo, Javier; Kobayashi, Shigeto; Mihara, Hirotsugu; Itabashi, Yuji; Shiota, Takahiro

doi:10.1111/echo.13482

Cited by 13 publications

(11 citation statements)

References 15 publications

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“…Also, RT3DTEE exhibited better embolization prediction performance than 2DTEE. The best cutoff points related to increased risk for EE during infection when using RT3DTEE and 2DTEE assessments were the maximum length of vegetation ≥16.4 and ≥9.5 mm, respectively 17 …”

Section: Predictors For Eementioning

confidence: 99%

Infective endocarditis complicated by embolic events: Pathogenesis and predictors

Wang

2021

Clinical Cardiology

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Background Infective endocarditis (IE) continues to be associated with great challenges. Embolic events (EE) are frequent and life‐threatening complications in IE patients. It remains challenging to predict and assess the embolic risk in individual patients with IE accurately. Hypothesis Accurate prediction of embolization is critical in the early identification and treatment of risky and potentially embolic lesions in patients with IE. Methods We searched the PubMed, Web of Science, and Google Scholar databases using a range of related search terms, and reviewed the literatures about the pathogenesis and embolic predictors of IE. Results The development of IE and its complications is widely accepted as the result of complex interactions between microorganisms, valve endothelium, and host immune responses. The predictive value of echocardiographic characteristics is the most powerful for EE. In addition, both easily obtained blood biomarkers such as C‐reactive protein, mean platelet volume, neutrophil‐to‐lymphocyte ratio, anti‐β2‐glycoprotein I antibodies, D‐Dimer, troponin I, matrix metalloproteinases, and several microbiological or clinical characteristics might be promising as potential predictors of EE. Conclusion Our review provides a synthesis of current knowledge regarding the pathogenesis and predictors of embolism in IE along with a review of potentially emerging biomarkers.

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Section: Predictors For Eementioning

confidence: 99%

Infective endocarditis complicated by embolic events: Pathogenesis and predictors

Wang

2021

Clinical Cardiology

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“…3-D US is an emerging field in modern US techniques, with applications in numerous areas of modern medicine. Cardiologists use it in diagnosing valvular defects, valve interventions and chamber quantifications (Utsunomiya et al 2017;Lang et al 2018). In obstetrics, the 3-D technique helps to diagnose pathologies of the child's face or fetal heart defects more easily (Tutschek et al 2017;Chaoui et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Sonographic 3-D Power Doppler Imaging Enhances Rapid Assessment of Morphologic and Pathologic Arteriovenous Fistula Variations

Putz

Pfister

Bergler

et al. 2021

Ultrasound in Medicine & Biology

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Early detection of pathologic variations in an arteriovenous fistula (AVF) is essential for preventing fistula dysfunction in individuals undergoing hemodialysis. This study aimed to evaluate the clinical applicability of 3-D tomographic ultrasound (tUS) for rapid and simple visualization of AVF morphology and pathology. We assessed 53 AVFs in 50 consecutive patients using 3-D tUS including secondary, blinded reading. For all examinations, a high-end ultrasound (US) device was used with linear probe, attached to a tUS system to allow freehand 3-D scanning. Participants were examined by 2-D US and 3-D tUS with different raw data (B-mode, power Doppler, B-flow). Additional angiography was available for 15 participants with scheduled interventions. In all participants, 3-D tUS allowed a 3-D representation of AVFs in angiographic-like images with good image quality. The 2-D US assessment took 7.9 § 4.0 min. A 3-D power Doppler scan required, on average, 1.4 § 0.6 min. Diagnostic accuracy of blinded reading for pathologies was high (86.8% for aneurysms and 79.2% for stenoses). BlandÀAltman plots showed an excellent correlation of 3-D tUS with 2-D US and angiography. 3-D tUS is an easily and rapidly applicable method for visualizing morphologic and pathologic AVF variations. Color-coded 3-D reconstruction of power Doppler data simplifies detection of perfused aneurysms and stenoses.

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“…Organic TR is caused by an anatomic abnormality of the TV itself, such as rheumatic, iatrogenic, carcinoid disease, traumatic, Ebstein anomaly, pacer-related, myxomatous degeneration of the TV, and infective endocarditis. 30 In contrast, functional TR occurs on structurally…”

Section: Cause/etiologymentioning

confidence: 99%

Role of 3-Dimensional Echocardiography in the Comprehensive Evaluation of the Tricuspid Valve in Patients With Tricuspid Regurgitation

Utsunomiya

Kihara

2020

Circ Rep

Self Cite

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Three-dimensional echocardiography is one of the most promising methods for the diagnosis of valvular heart disease, and recently has become an essential clinical tool owing to the continued development of real-time transesophageal echocardiography (TEE) technology. And now an era of renewed interest and enthusiasm surrounding the diagnosis and treatment of valvular heart disease has come, which is driven by emerging trans-catheter procedures. Nonetheless, little or no attention has been given to the treatment of tricuspid regurgitation (TR). The application of 3D-TEE is useful for simultaneous visualization of all 3 leaflets in order to grasp the whole picture of the tricuspid valve (TV; "en face" view). The implications of 3-D assessment of TV annulus, leaflets, and morphology involve an improved understanding of both the mechanics and treatment of TR. This method has been useful for surgical management, including accurate measurement of tricuspid annular diameter and prediction of the post-surgical outcome. Moreover, this method may be indispensable for detailed and comprehensive evaluation of the TV in patients with TR who are candidates for trans-catheter tricuspid procedures. In addition, color Doppler 3D-TEE has been valuable to identify the location of the regurgitant orifice and the severity of the TR. It is now clear that this method will enhance the diagnosis and management of TR patients.

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Evaluation of vegetation size and its relationship with septic pulmonary embolism in tricuspid valve infective endocarditis: A real time 3DTEE study

Abstract: In TVIE, vegetation length is a strong predictor of the occurrence of PE. In combination with 2DTEE, 3DTEE may identify high-risk patients who will need a more aggressive therapeutic strategy.

Cited by 13 publications

References 15 publications

Infective endocarditis complicated by embolic events: Pathogenesis and predictors

Infective endocarditis complicated by embolic events: Pathogenesis and predictors

Sonographic 3-D Power Doppler Imaging Enhances Rapid Assessment of Morphologic and Pathologic Arteriovenous Fistula Variations

Role of 3-Dimensional Echocardiography in the Comprehensive Evaluation of the Tricuspid Valve in Patients With Tricuspid Regurgitation

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