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Updated: May 5, 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
Echocardiography is crucial for transcatheter interventions in valvular heart disease, guiding patient selection, procedures, and follow-up. New guidelines offer a reference for echocardiographers in these advanced treatments.
Area of Science:
- Cardiology
- Medical Imaging
- Interventional Cardiology
Background:
- Transcatheter interventions for valvular heart disease (e.g., aortic valve implantation, mitral repair, paravalvular leak closure) are expanding.
- Echocardiography is vital for patient selection, intra-procedural guidance, and post-procedure monitoring in these cases.
Purpose of the Study:
- To provide comprehensive recommendations for echocardiography use in new transcatheter interventions for valvular heart disease.
- To establish a reference document for echocardiographers involved in these procedures.
Main Methods:
- Development of guidelines by the European Association of Echocardiography and the American Society of Echocardiography.
- Focus on the unique demands of echocardiographic assessment for transcatheter interventions compared to routine evaluations.
Main Results:
- Publication of recommendations for echocardiography in transcatheter valvular interventions.
- Emphasis on the essential role of echocardiography throughout the patient journey.
Conclusions:
- Echocardiography is indispensable for the success of transcatheter valvular interventions.
- These recommendations aim to standardize and enhance echocardiographic practice in this evolving field.
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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