Two-dimensional versus three-dimensional transesophageal echocardiography in percutaneous left atrial appendage occlusion

Streb, Witold; Mitręga, Katarzyna; Podolecki, Tomasz; Szymała, Magdalena; Leopold-Jadczyk, Anna; Kukulski, Tomasz; Kalarus, Zbigniew

doi:10.5603/cj.a2018.0019

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…This was clinically important because 3D TEE areas were also 27% larger in patients that had residual shunt after ASD closure suggesting that 2D TEE can underestimate the area of complex-shaped ASDs. Streb and colleagues compared real time 2D TEE with real time 3D TEE in 40 patients during place of a LAA occlusion device and found that there was better device size agreement (weighted Kappa 0.62 vs. 0.28, respectively) with 3D TEE vs. 2D TEE [52] . Kronzon et al [53] used real time 3D TEE for evaluation of residual MR after mitral repair and replacement and found that 3D TEE provided more information than 2D echo including accurate evaluation of the origin of residual MR, the type of ring or prosthesis used, and location, size, shape, and area of the dehisced segment in cases of MV replacement.…”

Section: Perioperative 3d Tee For Procedures Guidance and Valvular Assmentioning

confidence: 99%

Clinical and perioperative applications of three-dimensional echocardiography

Rong¹

2019

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The use of three-dimensional echocardiography, both in the clinical cardiology and perioperative settings, has increased thanks to its ability to add important information to the standard bi-dimensional exam and to evaluate structures without geometric assumptions. Both real time three dimensional (3D) transesophageal echo and offline quantitative measurements from 3D acquisitions have become integral for qualitative and quantitative analysis of structures and for surgical and procedural guidance. This review aims to provide an overview on the applications of 3D echo, with particular reference to the perioperative settings.

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Section: Perioperative 3d Tee For Procedures Guidance and Valvular Assmentioning

confidence: 99%

Clinical and perioperative applications of three-dimensional echocardiography

Rong¹

2019

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“…However, 3D image reconstruction is required to obtain LAA shape images, and LAA morphology changes cannot be shown with the cardiac cycle in real time, making this method time-consuming, laborious, and requiring high human interference. Previously, some researchers considered 2D-TEE as the gold standard for the preoperative measurement of relevant morphological parameters in LAAO, but with the rapid development of three-dimensional ultrasound, an increasing number of studies have shown that the results of RT3D-TEE are more accurate and reliable and correlate better with the implanted occluder, making it more suitable as a key reference for the selection of occluder models for LAAO patients ( Morcos et al, 2018 ; Streb et al, 2019 ). However, in addition to its inability to directly display the overall external contour of the LAA, conventional RT3D-TEE still has several limitations such as cumbersome and time-consuming operation procedures when measuring the anatomical and physiological parameters of the LAA ( Morais et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Real-time 3D echocardiographic transilluminated imaging combined with artificially intelligent left atrial appendage measurement for atrial fibrillation interventional procedures

Sun

Ren²,

Xiao³

et al. 2022

Front. Physiol.

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Aims: This study investigated the feasibility and accuracy of real-time three-dimensional (3D) echocardiographic transilluminated imaging (TrueVue Glass) in left atrial appendage (LAA) anatomical morphology and artificial intelligence (AI)-assisted 3D automated LAA measurement (3D Auto LAA) software in the preoperative evaluation of LAA occlusion (LAAO) in patients with atrial fibrillation (AF).Method and results: Thirty-seven patients with AF were selected. Two-dimensional (2D) and real-time 3D transesophageal echocardiography (RT3D-TEE) were performed preoperatively, using conventional 3D, the new 3D TrueVue Glass mode, and cardiac computed tomography angiography (CCTA) to assess and type the morphology of LAA. Physiological parameters were measured using traditional 2D and 3D manual (3D Manual LAA), 3D Auto LAA, and CCTA. TrueVue Glass for LAA outer contour display was compared with CCTA. Comparisons were based on correlation and consistency in measuring the maximum diameter (LZ max), minimum diameter (LZ min), area (LZ area), and circumference (LZ cir) of LAA landing zone (LZ). Times and variabilities were compared. The concordance rate for external shape of LAA was 97.14% between TrueVue Glass and CCTA. 3D Auto LAA and 3D Manual LAA have a stronger correlation and higher consistency in all parameters. 3D Auto LAA showed higher intra- and interobserver reproducibility and allowed quicker analysis (p < 0.05). LAAO was performed in 35 patients (94.59%), and none of which had serious adverse events.Conclusion: TrueVue Glass is the first non-invasive and radiation-free visualization of the overall external contour of LAA and its adjacent structures. 3D Auto LAA simplifies the measurement, making the preoperative assessment more efficient and convenient while ensuring the accuracy and reproducibility. A combination of the two is feasible for accurate and rapid assessment of LAA anatomy and physiology in AF patients and has practical application in LAAO.

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“…3D-ЧпЭхоКГ обеспечивает отличный обзор анатомии ЛП до процедур абляции ФП, и эти процедуры связаны с благоприятным долгосрочным результатом [45]. 3D-ЧпЭхоКГ позволяет лучше оценить морфологию УЛП и более точно определить площадь отверстия УЛП, чем 2D-ЧпЭхоКГ, что важно при подборе размера окклюзирующего устройства, а результаты измерения связаны с меньшей изменчивостью, зависящей от специалиста, проводящего исследование, и более высокой надёжностью исследования [46][47][48][49][50][51][52][53][54].…”

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Capabilities of transesophageal echocardiography in patients with atrial fibrillation

Galyautdinov

Ibragimova²,

Galeeva³

2022

Kazan Med J

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Transesophageal echocardiography is widely used in clinical practice in patients with atrial fibrillation and it is mainly applied to determine the morphology of the heart, the presence of intracardiac thrombi, quantify the structures of the heart, as well as to determine the tactics for surgical interventions. Transesophageal echocardiography has an advantage over transthoracic echocardiography in visualizing the left atrium and left atrial appendage, common sites of thrombus formation in patients with atrial fibrillation. Due to the anatomical proximity of the esophagus to the heart, the transesophageal access avoids signal fading and incorrect interpretation of the study results. The possibilities of transesophageal echocardiography in patients with atrial fibrillation have expanded with the development of medical technology, and three-dimensional transesophageal echocardiography has become widespread. In recent years, the studies on the use of the transesophageal echocardiography in patients with atrial fibrillation during the coronavirus pandemic have been published. The review presents the results of studies, meta-analyzes of pooled samples, as well as clinical cases, demonstrating capabilities of transesophageal echocardiography in patients with atrial fibrillation. A brief history of the development of the method, work on the study of the technology features and capabilities of transesophageal echocardiography for pulmonary vein ablation, cardioversion, occlusion of the left atrial appendage in patients with atrial fibrillation, as well as studies on disadvantages of the transesophageal echocardiography and possible options for their elimination are presented. Comparison of the transesophageal echocardiography with transthoracic and intracardial echocardiography is also highlighted. In preparing the review, the literature search method in PubMed databases for the period 20122021 was used, as well as data from an earlier period to indicate the history of the method development.

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Two-dimensional versus three-dimensional transesophageal echocardiography in percutaneous left atrial appendage occlusion

Abstract: Background: Real-time three-dimensional transesophageal echocardiography (RT3D TEE)

Cited by 4 publications

References 24 publications

Clinical and perioperative applications of three-dimensional echocardiography

Clinical and perioperative applications of three-dimensional echocardiography

Real-time 3D echocardiographic transilluminated imaging combined with artificially intelligent left atrial appendage measurement for atrial fibrillation interventional procedures

Capabilities of transesophageal echocardiography in patients with atrial fibrillation

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