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Updated: May 30, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
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.
Abstract:
The introduction of devices for transcatheter aortic valve implantation, mitral repair, and closure of prosthetic paravalvular leaks has led to a greatly expanded armamentarium of catheter-based approaches to patients with regurgitant as well as stenotic valvular disease. Echocardiography plays an essential role in identifying patients suitable for these interventions and in providing intra-procedural monitoring. Moreover, echocardiography is the primary modality for post-procedure follow-up. The echocardiographic assessment of patients undergoing transcatheter interventions places demands on echocardiographers that differ from those of the routine evaluation of patients with native or prosthetic valvular disease. Consequently, the European Association of Echocardiography in partnership with the American Society of Echocardiography has developed the recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. It is intended that this document will serve as a reference for echocardiographers participating in any or all stages of new transcatheter treatments for patients with valvular heart disease.
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