Utility of Real-Time 3-Dimensional Transesophageal Echocardiography in the Assessment of Mitral Paravalvular Leak

Arribas-Jiménez, Antonio; Rama-Merchán, Juan Carlos; Barreiro-Pérez, Manuel; Merchán-Gómez, Soraya; Íscar-Galán, Alberto; Martín-García, Ana; Nieto-Ballestero, Félix; Sánchez-Corral, Esther; Rodríguez-Collado, Javier; Cruz-González, Ignacio; Sánchez, Pedro L.

doi:10.1253/circj.cj-15-0802

Cited by 19 publications

(12 citation statements)

References 39 publications

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“…17 Several studies have demonstrated the concordance between 3D-TEE images and the real anatomy, and the superiority of 3D-TEE over 2D-TEE in PVL evaluation. [18][19][20] To facilitate the communication between the interventionalist and echocardiographer, it is recommended that mitral PVL location be reported in a clockwise format from a surgeon's perspective or 'surgical view' (Fig. 2).…”

Section: Imaging In Transcatheter Paravalvularmentioning

confidence: 99%

“…22 3D-TEE also plays an important role in the selection of the most appropriate closure device (morphology and size) in each case. 20,23 For this purpose it is essential to perform a thorough characterization of the PVL (length, width, area) by direct planimetry using a 3D multiplanar reconstruction tool. 20 Fusion of different imaging modalities has gained increasing popularity over the last years.…”

Section: Imaging In Transcatheter Paravalvularmentioning

confidence: 99%

“…20,23 For this purpose it is essential to perform a thorough characterization of the PVL (length, width, area) by direct planimetry using a 3D multiplanar reconstruction tool. 20 Fusion of different imaging modalities has gained increasing popularity over the last years. 24 Computed tomography (CT)-fluoroscopy fusion imaging represents a new option especially useful in trasapical access.…”

Section: Imaging In Transcatheter Paravalvularmentioning

confidence: 99%

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Percutaneous Closure of Paravalvular Leaks: A Systematic Review

Cruz-González

Rama-Merchán

Calvert

et al. 2016

J Interven Cardiology

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Paravalvular leak (PVL) is an uncommon yet serious complication associated with the implantation of mechanical or bioprosthetic surgical valves and more recently recognized with transcatheter aortic valves implantation (TAVI). A significant number of patients will present with symptoms of congestive heart failure or haemolytic anaemia due to PVL and need further surgical or percutaneous treatment. Until recently, surgery has been the only available therapy for the treatment of clinically significant PVLs despite the significant morbidity and mortality associated with re-operation. Percutaneous treatment of PVLs has emerged as a safe and less invasive alternative, with low complication rates and high technical and clinical success rates. However, it is a complex procedure, which needs to be performed by an experienced team of interventional cardiologists and echocardiographers. This review discusses the current understanding of PVLs, including the utility of imaging techniques in PVL diagnosis and treatment, and the principles, outcomes and complications of transcatheter therapy of PVLs.

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Section: Imaging In Transcatheter Paravalvularmentioning

confidence: 99%

Section: Imaging In Transcatheter Paravalvularmentioning

confidence: 99%

Section: Imaging In Transcatheter Paravalvularmentioning

confidence: 99%

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Percutaneous Closure of Paravalvular Leaks: A Systematic Review

Cruz-González

Rama-Merchán

Calvert

et al. 2016

J Interven Cardiology

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“…1). 3D-TEE is especially useful for mitral PVLs, being almost mandatory for a correct diagnosis [15–17]. It is recommended that mitral PVL location be reported in a clockwise format from a surgeon’s perspective or ‘surgical view’ (Fig.…”

Section: Diagnosis Of Paravalvular Leakmentioning

confidence: 99%

Transcatheter closure of paravalvular leaks: state of the art

et al. 2016

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Paravalvular leak (PVL) is a serious complication after surgical valve replacement or after transcatheter aortic valve replacement. Approximately 1–5% of PVLs can lead to serious clinical consequences, including congestive heart failure and/or haemolytic anaemia. For years, surgical re-intervention has been considered the treatment of choice for symptomatic patients with PVLs. However, surgical re-intervention is associated with a high risk of morbidity and mortality. Transcatheter PVL (TPVL) closure is a less invasive alternative to surgical re-intervention. The safety and feasibility of TPVL closure has been confirmed in several registries and a meta-analysis.In this review, we discuss the clinical implications and diagnosis of PVLs, technical considerations for TPVL, execution of the procedure and assessment of the results.

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“…Real-time 3D transesophageal echocardiography (TEE) with cardiac fluoroscopy X-ray imaging is well introduced into practice and is used to monitor and assist catheter-based cardiac operations [ 1 – 6 ].…”

Section: Introductionmentioning

confidence: 99%