EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease

Jose L Zamorano1, Luigi P Badano, Charles Bruce

  • 1University Clinic San Carlos, Madrid, Spain. zamorano@secardiologia.es

Insights

New guidelines address echocardiography for transcatheter interventions in valvular heart disease. These recommendations assist echocardiographers in evaluating patients for procedures like transcatheter aortic valve implantation and mitral repair.

Area of Science:

  • Cardiovascular Medicine
  • Medical Imaging
  • Interventional Cardiology

Background:

  • Transcatheter interventions for valvular heart disease have expanded significantly.
  • Echocardiography is crucial for patient selection, intra-procedural guidance, and post-procedure follow-up.
  • Specialized echocardiographic skills are required for these novel procedures.

Purpose of the Study:

  • To provide comprehensive recommendations for echocardiography in new transcatheter interventions for valvular heart disease.
  • To establish a standardized reference for echocardiographers involved in these procedures.
  • To ensure optimal patient care and outcomes in transcatheter valvular interventions.

Main Methods:

  • Development of guidelines by the European Association of Echocardiography and the American Society of Echocardiography.
  • Consensus-based approach incorporating expert opinion and current evidence.
  • Focus on echocardiographic assessment for transcatheter aortic valve implantation, mitral repair, and paravalvular leak closure.

Main Results:

  • Publication of detailed recommendations for echocardiographic imaging and interpretation.
  • Guidance on patient selection, procedural monitoring, and follow-up.
  • Emphasis on the evolving role of echocardiography in structural heart interventions.

Conclusions:

  • Echocardiography is indispensable in the evolving field of transcatheter valvular interventions.
  • These recommendations aim to standardize and enhance echocardiographic practice.
  • Adherence to guidelines will support safe and effective treatment for patients with valvular heart disease.

Related Concept Videos

Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...