Transcatheter valve repair/implantation

Area of Science:

• Cardiology
• Medical Imaging
• Interventional Cardiology

Background:

• Real-time 3D transesophageal echocardiography (TEE) is an emerging imaging modality.
• Accurate imaging of cardiac structures is crucial for interventional procedures.
• Guidance during structural heart disease interventions requires precise visualization.

Purpose of the Study:

• To describe the application of real-time 3D TEE in structural heart interventions.
• To highlight the utility of 3D TEE for procedural guidance and assessment.
• To evaluate the role of 3D TEE in aortic valve replacement and mitral valve repair.

Main Methods:

• Utilized real-time 3D transesophageal echocardiography (TEE).
• Applied 3D TEE for pre-procedural evaluation of valvular structures.
• Employed 3D TEE for online guidance and post-procedural assessment.

Main Results:

• Demonstrated accurate and precise imaging of cardiac structures.
• Showcased effective online guidance for interventional cardiac procedures.
• Confirmed successful application in percutaneous aortic valve replacement and transcatheter mitral repair using the MitraClip device.

Conclusions:

• Real-time 3D TEE is a substantial advancement in evaluating patients for percutaneous heart valve procedures.
• 3D TEE provides critical guidance and monitoring during transcatheter heart valve interventions.
• This technology enhances the precision and accuracy of structural heart disease interventions.