Reproducibility in Echocardiographic Two‐ and Three‐Dimensional Mitral Valve Assessment

Hien, Maximilian D.; Grossgasteiger, Manuel; Weymann, Alexander; Rauch, Helmut; Rosendal, Christian

doi:10.1111/echo.12365

Cited by 8 publications

(5 citation statements)

References 19 publications

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“…As for 2DE, a high prevalence of inter-operator discordance in terms of grading is widely described in the literature [16], mostly in the presence of severe regurgitation. A comprehensive, multiparametric evaluation with a preference for quantitative parameters only has proven to increase concordance [11].…”

mentioning

confidence: 99%

Contemporary Echocardiographic Evaluation of Mitral Regurgitation and Guidance for Percutaneous Mitral Valve Repair

Marchetti,

Di Lenarda,

Novembre

et al. 2023

JCM

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Mitral valve regurgitation (MR) is a multifaceted valvular heart disease. Echocardiography plays a central role in etiology assessment, severity quantification, treatment candidacy, outcome evaluation, and patient follow-up. In this review, we describe the comprehensive echocardiographic assessment of MR, including transthoracic (TTE) and transesophageal (TEE) approaches, 2D and 3D modalities, strain imaging, stress echocardiography, and artificial intelligence (AI) applications. Transcatheter edge-to-edge mitral valve repair (TEER) has been established as a key therapy for patients with severe, symptomatic MR and high surgical risk. TEER is performed under TEE guidance. We outline a practical overview of echocardiographic guidance on TEER.

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confidence: 99%

Contemporary Echocardiographic Evaluation of Mitral Regurgitation and Guidance for Percutaneous Mitral Valve Repair

Marchetti,

Di Lenarda,

Novembre

et al. 2023

JCM

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“…Standard modality for mitral valve imaging pre-, post-and intraoperatively actually is transesophageal echocardiography (TEE) [2,13,14]. One major concern about TEE is operator dependency and reproducibility of echocardiographic results [15]. Besides TEE, CT has been described for assessment of the mitral valve anatomy for patients with normal renal function that can be harmed with contrast medium.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography for planning and postoperative imaging of transvenous mitral annuloplasty: first experience in an animal model

Sündermann

Gordic

Manka

et al. 2014

Int J Cardiovasc Imaging

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To investigate the use of computed tomography (CT) to measure the mitral valve annulus size before implantation of a percutaneous mitral valve annuloplasty device in an animal trial. Seven domestic pigs underwent CT before and after implantation of a Cardioband™ (a percutaneously implantable mitral valve annuloplasty device) with a second-generation 128-section dual-source CT machine. Implantation of the Cardioband™ was performed in a standard fashion according to a protocol. Animals were sacrificed afterwards and the hearts explanted. The Cardioband™ was found to be adequately implanted in all animals, with no anchor dehiscence and no damage of the circumflex artery (CX) or the coronary sinus (CS). The correct length of the band as chosen according to the length of the posterior mitral annulus measured in CT before implantation was confirmed in gross examination in all animals. The device did not result in a metal artifact-related degradation of image quality. The closest distance from the closest anchor to the CX was 2.1 ± 0.7 mm in diastole and 1.6 ± 0.5 mm systole. Mitral annulus distance to the CS was 6.4 ± 1.3 mm in diastole and 7.7 ± 1.1 mm in systole. CT visualization and measurement of the mitral valve annulus dimensions is feasible and can become the imaging method of choice for procedure planning of Cardioband™ implantations or other transcatheter mitral annuloplasty devices.

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“…Three-dimensional TEE revolutionized the ability to visualize MV anatomy in vivo with definitive advantages over flaccid heart examination made by surgeons. Compared to 2D-TEE, 3D-TEE is less operator dependent because the entire MV can be visualized in a single view, consenting simultaneous examination of both leaflets from either the left ventricular or the left atrial perspective [20].…”

Section: Improve MV Repair Rates By Protocol-driven Echo Guidancementioning

confidence: 99%

Echocardiographic prediction of surgical reparability in degenerative mitral regurgitation due to leaflet prolapse: a review

Mantovani

Bursi

Giannuario

et al. 2019

Expert Review of Cardiovascular Therapy

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Introduction. Despite current guidelines provide recommendations for the optimal management of degenerative mitral regurgitation (MR), this condition remains often undertreated with delay in surgical referral and dismal effect on outcomes.Areas covered. This review focuses on the role of echocardiography in guiding mitral valve (MV) surgical repair in degenerative MR due to leaflet prolapse. Expert opinion.A stepwise protocol-driven echocardiography shared by referring physician and surgeon may help to guide referral to surgical repair in degenerative MR. This protocol particularly is useful to identify the ideal patho-anatomy for a successful and durable repair especially when early surgery is proposed and to refer the patient to centers of excellence in case of complex anatomy. Nearly 100% repair rate can be achieved when the surgical technique is adapted to the lesions seen in each valve. Threedimensional echocardiography predicts repair complexity may be useful and should therefore be implemented. However, the current literature is far from comprehensive deriving from small, single-center studies. Therefore, reproducibility and external validation, especially with newly developed quantitative automated software, are still needed.

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Reproducibility in Echocardiographic Two‐ and Three‐Dimensional Mitral Valve Assessment

Cited by 8 publications

References 19 publications

Contemporary Echocardiographic Evaluation of Mitral Regurgitation and Guidance for Percutaneous Mitral Valve Repair

Contemporary Echocardiographic Evaluation of Mitral Regurgitation and Guidance for Percutaneous Mitral Valve Repair

Computed tomography for planning and postoperative imaging of transvenous mitral annuloplasty: first experience in an animal model

Echocardiographic prediction of surgical reparability in degenerative mitral regurgitation due to leaflet prolapse: a review

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