Real-time three-dimensional echocardiography: never before clinical efficacy looked so picturesque

Aggeli, Constantina; Felekos, Ioannis; Kastellanos, S.; Panagopoulou, V.; Oikonomou, Evangelos; Tsiamis, Eleftherios; Tousoulis, Dimitris

doi:10.1016/j.ijcard.2015.06.052

Cited by 12 publications

(4 citation statements)

References 59 publications

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“…TTE is a first-line tool used to evaluate mechanical valves and their dysfunction because it is cost-effective, easy to access, and able to assess functional information without radiation exposure ( 22 ). TEE, which shows clearer images than TTE, should also be used to evaluate prosthetic valve dysfunction ( 23 24 ). However, TTE and TEE are operator-dependent and small pannus formations are usually not visible on echocardiography ( 13 25 ).…”

Section: Discussionmentioning

confidence: 99%

Extent of Subprosthetic Pannus after Aortic Valve Replacement: Changes Over Time and Relationship with Echocardiographic Findings

박

구

하³

et al. 2020

J Korean Soc Radiol

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Section: Discussionmentioning

confidence: 99%

Extent of Subprosthetic Pannus after Aortic Valve Replacement: Changes Over Time and Relationship with Echocardiographic Findings

박

구

하³

et al. 2020

J Korean Soc Radiol

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“…Although 3D TEE displays the defects in en face view and gives accurate information about the size, shape, and relationship of the defects to each other, in some cases the intervening tissue is too thin to be displayed on 3D TEE especially when there is an aneurysm of the interatrial septum. 19,[30][31][32] Also, in children <30 kg, it cannot be used due to the large probe size. 32 In none of our patients, the procedure had to be abandoned for the want of 3D TEE.…”

Section: Role Of 2d-teementioning

confidence: 99%

“…Because 3-dimensional TEE (3D TEE) was not available, we relied entirely on 2D TEE for determining the number of devices to be used as well as the size of the individual device. Although, 3D TEE is strongly recommended for the closure of multiple ASDs, [30][31][32] it is not mandatory. In all our patients, 2D TEE was used effectively for planning and executing the closure of multiple defects.…”

Section: Role Of 2d-teementioning

confidence: 99%

Balloon Interrogation of Intervening Tissue: A Novel Method to Decide Strategy for Closing Multiple Atrial Septal Defects

Dalvi

Bhalgat²

2022

Circ: Cardiovascular Interventions

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Background: Two separate ostium secundum atrial septal defects are a challenging substrate for device closure due to lack of a well-described strategy or an adequately evaluated protocol. Methods: This is a prospective study comprising 20 patients with 2 atrial septal defects who underwent device closure. All of them underwent balloon interrogation (BI) of the intervening tissue to decide 1- versus 2-device strategy. During BI, if the flow through both the defects could be stopped completely implying adequate mobility of the separating tissue, a single device strategy was used. The size of the device in this subset was determined by BI diameter. In case the flow persisted, 2 devices were used to close the defects separately. Results: The mean age was 24±17 years. The main defect size was (mean 14.5 mm±SD 2.69 mm), whereas the second defect measured (mean 8.5±SD 3.02 mm). The tissue separating the 2 defects was measured (mean 6.1±SD 2.6 mm). In 15 of them, based on the BI results, a single device was used successfully to close both the defects without a residual shunt. In the remaining 5 patients, 2 devices were used. There were no complications during the procedure or at follow-up period of 41.9±16.9 months. Conclusions: BI in patients with 2 atrial septal defects is helpful in defining 1- versus 2-device strategies and in choosing the size of the device to be used. Nearly 3/4 of the patients may get away with a single device for closing both the defects successfully thereby decreasing the cost and complexity of the procedure.

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“…RT-3DE can fully display the three-dimensional shape of the heart in different phases. It can portray selected subendocardial myocardium, can measure the heart chamber volume function without relying on assumption of the geometry of the heart chamber, and its accuracy is not affected by the deformation of the heart chamber, segmental wall motion abnormalities, or other pathological states [4]. Research has shown that the results of using RT-3DE and cardiac magnetic resonance imaging to measure EDV, ESV, and SV had a high degree of similarity [5,6].…”

Section: Assessment Of Changes In LV Volumeand Myocardial Function Bymentioning

confidence: 99%

Comprehensive Assessment of Changes in Left Ventricular Volume and Myocardial Function After Acute Myocardial Infarction in the Elderly: The Role of Real-Time Three-Dimensional Echocardiography and Two-Dimensional Speckle Tracking Imaging

Deng¹,

Huang²,

Liu³

et al. 2020

Preprint

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Background: Conventional echocardiography is not sensitive enough to assess the mild acute myocardial infarction (AMI), especially the non ST elevation AMI (NSTEAMI) that the myocardial motion is often normal or mildly reduced. This research attempt to find some new technology to better assess the left ventricular (LV) volume and myocardial function after percutaneous coronary intervention (PCI) in the elderly patients with NSTEAMI and ST elevation AMI (STEAMI). Methods: Patients with NSTEAMI (n=40) and STEAMI (n=40) underwent imaging investigations 1 week and 3 months after PCI. A group of 40 healthy volunteers was used as a control group. The LV end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), and ejection fraction (EF) were measured using real-time three-dimensional echocardiography (RT-3DE). The longitudinal peak systolic strain (LPSS), radial peak systolic strain (RPSS), circumferential peak systolic strain (CPSS) and rotational peak degree (Rot) in the myocardium supplied by infarct-related artery (Myo-IRA) segments (LPSS-Api, LPSS-Mid, LPSS-Bas, RPSS-Api, RPSS-Mid, RPSS-Bas, CPSS-Api, CPSS-Mid, CPSS-Bas, Rot-Bas, Rot-Api) were obtained using two-dimensional speckle tracking imaging (2D-STI). The peak torsion angle (Twist) were calculated. Results: Compared with control group, in 1 week after PCI, the ESV and EDV in NSTEAMI and STEAMI patients were significantly increased (P<0.001), the LPSS, RPSS, CPSS in the Myo-IRA segments and the EF, SV, Rot-bas, Rot-Api and Twist in the NSTEAMI and STEAMI patients were significantly lower (P<0.001), and more so in the STEAMI patients. Compared with 1 week after PCI, in 3 months after PCI, the ESV, EDV, SV, EF, RPSS, CPSS, Rot-Bas and Twist in NSTEAMI and STEAMI patients were recovered partially (P<0.01), the LPSS and Rot-Api only in the NSTEAMI patients was improved significantly (P<0.01). Conclusions: The LV volume functions, longitudinal, radial, circumferential, and twist movement in the elderly AMI patients with different degree of transmural damage 1 week and 3 months after PCI can be objectively and sensitively revealed by using RT-3DE and 2D-STI respectively. The LV myocardial multi-dimensional deformation functions are severely damaged in both NSTEAMI and STEAMI patients, but the NSTEAMI patients have a better prognosis after treatment over a long time.

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Real-time three-dimensional echocardiography: never before clinical efficacy looked so picturesque

Cited by 12 publications

References 59 publications

Extent of Subprosthetic Pannus after Aortic Valve Replacement: Changes Over Time and Relationship with Echocardiographic Findings

Extent of Subprosthetic Pannus after Aortic Valve Replacement: Changes Over Time and Relationship with Echocardiographic Findings

Balloon Interrogation of Intervening Tissue: A Novel Method to Decide Strategy for Closing Multiple Atrial Septal Defects

Comprehensive Assessment of Changes in Left Ventricular Volume and Myocardial Function After Acute Myocardial Infarction in the Elderly: The Role of Real-Time Three-Dimensional Echocardiography and Two-Dimensional Speckle Tracking Imaging

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