Role of 3D Transesophageal Echocardiography for Transcatheter Mitral Valve Repair—A Mini Review

Hirasawa, Kensuke; Izumo, Masaki

doi:10.3389/fcvm.2022.815304

Cited by 7 publications

(5 citation statements)

References 33 publications

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“…For the spatial orientation of the system in relation to the mitral valve, the following TE views are used [50]:…”

Section: Clip Implantationmentioning

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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“…For the spatial orientation of the system in relation to the mitral valve, the following TE views are used [50]:…”

Section: Clip Implantationmentioning

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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“…Echocardiography is the essential imaging modality for TEER, specifically for patient selection, guidance of the procedure, evaluation of the result after implantation, and assessment at follow-up of residual MR severity, and LV size and function ( 116 , 117 ) ( Table 3 ). 3D echocardiography may provide new additional and useful data in each of these scopes.…”

Section: Percutaneous Treatment Of Mitral Valve Prolapsementioning

confidence: 99%

3D echocardiography in mitral valve prolapse

Mantegazza

Gripari

Tamborini

et al. 2023

Front. Cardiovasc. Med.

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Mitral valve prolapse (MVP) is the leading cause of mitral valve surgery. Echocardiography is the principal imaging modality used to diagnose MVP, assess the mitral valve morphology and mitral annulus dynamics, and quantify mitral regurgitation. Three-dimensional (3D) echocardiographic (3DE) imaging represents a consistent innovation in cardiovascular ultrasound in the last decades, and it has been implemented in routine clinical practice for the evaluation of mitral valve diseases. The focus of this review is the role and the advantages of 3DE in the comprehensive evaluation of MVP, intraoperative and intraprocedural monitoring.

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“…First, as already mentioned, successful trans-septal puncture requires a 3D understanding of the interatrial anatomy and its relationship to the surrounding structures. Obtaining an accurate view of the puncture site could be challenging using only 2D images, especially when the site is very posterior [26]. Thus, 3D-TEE may help identify the optimal area to be punctured, which can be slightly different in patients with different MR etiologies.…”

Section: Edge-to-edge Mitral Valve Repairmentioning

confidence: 99%

“…Thus, 3D-TEE may help identify the optimal area to be punctured, which can be slightly different in patients with different MR etiologies. In general, an appropriate distance (not inferior to 4.0 to 4.5 cm) between the septal tenting and MV orifice allows enough room for navigating the delivery system [3,26]. To measure this distance, a lateral perspective of the left side of the interatrial septum should be obtained [3,26].…”

Section: Edge-to-edge Mitral Valve Repairmentioning

confidence: 99%

Three-Dimensional Transesophageal Echocardiography in Percutaneous Catheter-Based Cardiac Interventions

Farina,

Barry,

Arsanjani

et al. 2023

JCM

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Cardiac structural and valve interventions have remained surgical procedures for several decades. The ability to directly visualize the region of interest during surgery made imaging of these structures pre- and postsurgery a secondary tool to compliment surgical visualization. The last two decades, however, have seen rapid advances in catheter-based percutaneous structural heart interventions (SHIs). Due to the “blind” nature of these interventions, imaging plays a crucial role in the success of these procedures. Fluoroscopy is used universally in all percutaneous cardiac SHIs and helps primarily in the visualization of catheters and devices. However, success of these procedures requires visualization of intracardiac soft tissue structures. Due to its portable nature and rapid ability to show cardiac structures online, transesophageal echocardiography (TEE) has become an integral tool for guidance for all percutaneous SHI. Transcatheter aortic valve replacement—one of the earliest catheter-based procedures—while initially dependent on TEE, has largely been replaced by preprocedural cardiac CT for accurate assessment of valve sizing. Developments in echocardiography now allow live three-dimensional (3D) visualization of cardiac structures mimicking surgical anatomy during TEE. Besides showing actual 3D intracardiac structures, 3D-TEE allows visualization of the interaction of intracardiac catheters and devices with soft tissue cardiac structures, thereby becoming a “second pair of eyes” for the operator. Real-time 3D-TEE now plays an important role complementing multiplane two dimensional and biplane TEE during such interventions. In this review, we discuss the incremental role of 3D-TEE during various SHIs performed today.

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Role of 3D Transesophageal Echocardiography for Transcatheter Mitral Valve Repair—A Mini Review

Cited by 7 publications

References 33 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

3D echocardiography in mitral valve prolapse

Three-Dimensional Transesophageal Echocardiography in Percutaneous Catheter-Based Cardiac Interventions

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