The role of echocardiography in transcatheter aortic valve implantation

Onishi, Toshinari; Sengoku, Kaoruko; Ichibori, Yasuhiro; Mizote, Isamu; Maeda, Koichi; Kuratani, Toru; Sawa, Yoshiki; Sakata, Yasushi

doi:10.21037/cdt.2018.01.06

Cited by 16 publications

(14 citation statements)

References 80 publications

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“…The use of TEE during TAVI procedure is useful for detecting complications. The wire entanglement in the mitral apparatus is identified by changes in the mitral valve morphology or severity of regurgitation, after which, repositioning the wire may avoid further complications, such as rupture of the mitral chordal attachments with subsequent flail leaflet 5 . Furthermore, accessory mitral valve tissue, including mitral choral elongation, was occasionally seen originating from the anterior mitral valve leaflet 6 .…”

Section: Discussionmentioning

confidence: 99%

Papillary muscle rupture after transcatheter aortic valve implantation

Morita

Endo

Tanabe

2020

Cathet Cardio Intervent

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Catheter‐induced mitral regurgitation (MR) caused by mitral papillary muscle rupture can be a fatal complication of transcatheter aortic valve implantation (TAVI). We report a case involving an 89‐year‐old man who presented with symptomatic severe aortic stenosis. In addition, preoperative echocardiography showed accessory mitral valve tissue. Although moderate MR developed immediately after TAVI, severe MR caused by anterolateral papillary muscle rupture occurred 3 months after TAVI. As only a few case series have been published, our case report adds to the evidence base for this treatment strategy.

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Section: Discussionmentioning

confidence: 99%

Papillary muscle rupture after transcatheter aortic valve implantation

Morita

Endo

Tanabe

2020

Cathet Cardio Intervent

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“…TF-TAVI has emerged as a promising, minimally invasive alternative for high-risk patients with severe aortic stenosis ( 10 , 11 ). We are a high-volume centre for TAVI procedures, and our interventional cardiologists rely on the anaesthesiologists for echocardiography during TAVI and other structural heart procedures.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound Before and After Transfemoral Transcatheter Aortic Valve Implantation

Musuku

Cherukupalli

Capua

et al. 2020

Turk J Anaesthesiol Reanim

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Objective Surgical aortic valve replacement requires a comprehensive transoesophageal echocardiography (TEE) assessment before and after the intervention by cardiac anaesthesiologists. For patients undergoing transfemoral transcatheter aortic valve implantation (TF-TAVI), TEE is not routinely used. We started using transthoracic echocardiography (TTE) as a diagnostic and monitoring modality during TF-TAVI procedures. The aim of this study is to examine the usefulness of TTE before and after TF-TAVI. We hypothesised that TTE can serve as a screening tool in TF-TAVI patients and help rule out significant paravalvular leaks (PVLs), and serve as a monitoring tool. Methods A retrospective, observational study of 24 patients who underwent TF-TAVI with perioperative TTE over a 3-month period was conducted. Intraoperatively, two TTE examinations were performed. The first was a baseline pre-procedural TTE examination after anaesthetic induction, and the second was performed after TAVI valve implantation. Both pre- and post-procedural examinations included five focused TTE views. PVLs were graded as none, non-significant (trace or mild) or significant (moderate or severe). Results The average age and median body mass index of the patients were 82 years and 28.5 kg m −2 , respectively. The average time recorded for the pre- and post-TAVI TTE examinations were approximately 4 and 5.5 min, respectively. Non-significant PVL was detected in 6 (25%) patients, and no leak was detected in 18 (75%) patients. Conclusion A focused TTE examination was found to be a useful adjunct during TF-TAVI for a cardiac anaesthesiologist in the absence of TEE, and useful in ruling out significant PVLs.

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“…TTE has been the first-line for imaging in VHD due to its inexpensiveness, simplicity and availability. It provides real-time hemodynamic information, and can be employed with exercise or dobutamine stress testing (1)(2)(3)(4). It has decent spatial resolution, providing detailed images of valvular structures for determining the etiology of the disease.…”

Section: Strengths and Limitations Of Imaging Modalitiesmentioning

confidence: 99%

Review: application of current imaging modalities in the management of left-sided valvular heart disease

Zheng¹,

Kusunose²

2021

Cardiovasc Diagn Ther

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In terms of valvular heart disease (VHD) imaging, transthoracic echocardiography (TTE) is the preferred first choice because of its widespread availability. Other modalities, such as transesophageal echocardiography, computed tomography and magnetic resonance imaging, have played a supplementary role in diagnosis for severity, deciding the timing/type of treatment, detection of post procedural complications, and prognostic predictions. However, there are few consensuses on how to employ these modalities, as the evidence is not extensive as that for TTE. On the other hand, these imaging modalities also have their own unique strengths. If employed properly, these modalities have the potential to play a more prominent role in clinical decision making. In this review, we focus on the potential, limitations and application of current imaging modalities in the management of left-sided VHD

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The role of echocardiography in transcatheter aortic valve implantation

Cited by 16 publications

References 80 publications

Papillary muscle rupture after transcatheter aortic valve implantation

Papillary muscle rupture after transcatheter aortic valve implantation

Point-of-Care Ultrasound Before and After Transfemoral Transcatheter Aortic Valve Implantation

Review: application of current imaging modalities in the management of left-sided valvular heart disease

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