Real-time three-dimensional transthoracic echocardiography in daily practice: initial experience

Anwar, Ashraf M.; Nosir, Youssef F.M.; Zainal-Abidin, Siti Khairani; Ajam, Aref; Chamsi‐Pasha, Hassan

doi:10.1186/1476-7120-10-14

Cited by 16 publications

(12 citation statements)

References 41 publications

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“…Up to 95% of the authors' cases had echocardiographic guidance, since it plays a crucial role during the procedure and directs the operator during different phases of the intervention, such as choosing the right place for trans-septal puncture, appropriate crossing of the guidewire through the defect, choice of the device, and immediate evaluation of the result, with severity of the leak and its size being best estimated by 3D transesophageal echocardiography. In recent years, new technology of 3D echocardiography images fusion with fluoroscopy has been described to be able to help facilitate the success of the procedure and better assess the result 27,28 .…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure of paravalvular leaks: short- and medium-term outcomes

Custodio-Sánchez

García-Montes

Sandoval

et al. 2020

ACME

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Background: Paravalvular leak (PVL) is a frequent and important complication after surgical valvular replacement that can cause heart failure and hemolytic anemia and is associated with poor clinical outcomes. Surgical reoperation has been the standard treatment, but it is associated with high morbidity and mortality. Transcatheter closure is a therapeutic alternative. The aim of the present study is to analyze the feasibility and the short-and medium-term outcomes of the transcatheter closure of PVLs. Methods: Single-center registry of consecutive patients with post-surgical PVLs that underwent transcatheter closure, between January 2006 and December 2016. Efficacy and safety results were analyzed during the procedure and at 6-month follow-up. Results: Twenty-one PVLs (15 mitral, 5 aortic, and 1 tricuspid) were closure during 20 procedures. In the initial echocardiography, 91% of the leaks were severe. The most used device was the Amplatzer Vascular Plug III ® in 10 procedures (50%). The three-dimensional transesophageal echocardiography was used in 70% of cases. The device was successfully implanted in 95% of cases, a regurgitation reduction ≥ 1 grade was achieved in 95% of the cases, and the clinical success was 79%. Six-month survival was 100%; however, three cases required valvular surgery (15%). Conclusions: Transcatheter closure of PVLs is a feasible and safe procedure with high rates of technical, echocardiographic, and clinical success in the short and medium term. It is an adequate therapeutic alternative, mainly in high surgical risk patients and multiples comorbidities.

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Section: Discussionmentioning

confidence: 99%

Transcatheter closure of paravalvular leaks: short- and medium-term outcomes

Custodio-Sánchez

García-Montes

Sandoval

et al. 2020

ACME

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“…20 Meanwhile TTE, the traditional first step for PV evaluation, infrequently images this valve well, especially in adults. 3,6,17,[21][22][23][24][25][26] Three dimensional TTE image continues to evolve and as a result image quality and resolution also continue to improve, but 3D echo remains even more dependent on image quality than 2D echo. 2,23 A previous study showed 59% of patients had sufficient PV imaging by 3D TTE;…”

Section: Discussionmentioning

confidence: 99%

Feasibility of pulmonary valve imaging using transesophageal echocardiography upper esophageal view

et al. 2019

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Background The present study designed to evaluate feasibility of transesophageal echocardiographic (TEE) imaging of the pulmonary valve (PV) at the transaortic upper esophageal (TAUE) window. We hypothesized that patients with larger aorta would be more likely to have visualization of the PV from this TAUE window. Methods 2D TEE images of the PV were prospectively acquired by one operator at the TAUE window looking through the aortic arch. Patients were divided into four groups based on image quality of PV (group 1, not visualized; group 2, barely visualized; group 3, sufficient visualization; group 4, excellent visualization). Clinical, echocardiographic, and radiologic parameters were collected. Results A total of 212 consecutive patients (54 ± 14 years, 63.7% male) were enrolled. Group distribution was as follows: group 1, n = 60 (28.3%); group 2 n = 39 (18.4%); group 3, n = 27 (12.7%); group 4, n = 86 (40.6%). There were no differences between groups’ baseline clinical characteristics. There was a weak although statistically negative correlation between PV image quality and aortic arch dimension (r = −0.17 P = 0.01). There was a stronger positive correlation between PV thickness (r = 0.38 P < 0.001) and PV image quality. Retrospective subgroup analysis of 76 patients with recent chest CT showed similar, but not significant trends as by TEE. Conclusion The use of 2D TEE TAUE results in diagnostic image quality of the PV in the majority of patients and outstanding image quality in a subset of patients. PV image quality is negatively affected by increasing aorta diameter and positively affected by PV thickness.

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“…The apparent limitations of the RT3DE are largely related to its ongoing development, 28 , 29 specifically, the low rates of frames caused by imperfect translation of data sets and lack of agreement among the various softwares used for 3D evaluation. 30–33 Overall, the RT3DE method has improved image quality from the standard 2D images and measured cardiac function with superior diagnostic accuracy in predicting LV mass, systolic function, along with LV and RV volume when compared with 2DE.…”

Section: Discussionmentioning

confidence: 99%

Real-Time Three-Dimensional Echocardiography: Characterization of Cardiac Anatomy and Function—Current Clinical Applications and Literature Review Update

Velasco

Beckett

James

et al. 2017

BioResearch Open Access

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Our review of real-time three-dimensional echocardiography (RT3DE) discusses the diagnostic utility of RT3DE and provides a comparison with two-dimensional echocardiography (2DE) in clinical cardiology. A Pubmed literature search on RT3DE was performed using the following key words: transthoracic, two-dimensional, three-dimensional, real-time, and left ventricular (LV) function. Articles included perspective clinical studies and meta-analyses in the English language, and focused on the role of RT3DE in human subjects. Application of RT3DE includes analysis of the pericardium, right ventricular (RV) and LV cavities, wall motion, valvular disease, great vessels, congenital anomalies, and traumatic injury, such as myocardial contusion. RT3DE, through a transthoracic echocardiography (TTE), allows for increasingly accurate volume and valve motion assessment, estimated LV ejection fraction, and volume measurements. Chamber motion and LV mass approximation have been more accurately evaluated by RT3DE by improved inclusion of the third dimension and quantification of volumetric movement. Moreover, RT3DE was shown to have no statistical significance when comparing the ejection fractions of RT3DE to cardiac magnetic resonance (CMR). Analysis of RT3DE data sets of the LV endocardial exterior allows for the volume to be directly quantified for specific phases of the cardiac cycle, ranging from end systole to end diastole, eliminating error from wall motion abnormalities and asymmetrical left ventricles. RT3DE through TTE measures cardiac function with superior diagnostic accuracy in predicting LV mass, systolic function, along with LV and RV volume when compared with 2DE with comparable results to CMR.

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Real-time three-dimensional transthoracic echocardiography in daily practice: initial experience

Cited by 16 publications

References 41 publications

Transcatheter closure of paravalvular leaks: short- and medium-term outcomes

Transcatheter closure of paravalvular leaks: short- and medium-term outcomes

Feasibility of pulmonary valve imaging using transesophageal echocardiography upper esophageal view

Real-Time Three-Dimensional Echocardiography: Characterization of Cardiac Anatomy and Function—Current Clinical Applications and Literature Review Update

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