Related Experiment Video
Updated: Sep 30, 2025
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
4.0K
CT Planning prior to Transcatheter Mitral Valve Replacement (TMVR)
Linda Heiser1, Robin F Gohmann1, Thilo Noack2
1Department of Diagnostic and Interventional Radiology, Heart Center Leipzig, Leipzig, Germany.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|March 10, 2022
Summary
Pre-procedural computed tomography (CT) is crucial for transcatheter mitral valve replacement (TMVR) planning. CT accurately measures the mitral annulus and visualizes critical anatomy, improving prosthesis sizing and procedural success for high-risk patients.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Transcatheter mitral valve replacement (TMVR) is an option for severe mitral regurgitation in high-risk patients.
- Direct visualization of the mitral annulus is not possible during TMVR.
- Comprehensive pre-interventional planning is essential for successful TMVR.
Purpose of the Study:
- To assess the role of pre-procedural computed tomography (CT) in planning transcatheter mitral valve replacement (TMVR).
Main Methods:
- Review of guidelines (ESC, AHA/ACC), meta-analyses, and original research using terms 'TMVR' or 'TMVI' and 'CT'.
- Inclusion of authors' clinical experience in the assessment.
- Screening and evaluation of relevant scientific literature.
Main Results:
- CT enables accurate mitral annulus measurement with high spatial and temporal resolution.
- CT provides detailed information on valvular and outflow tract anatomy, calcifications, papillary muscles, and left ventricle.
- CT aids in visualizing the interventional access route.
Conclusions:
- CT is central to pre-interventional assessment for TMVR, complementing echocardiography.
- CT precisely depicts the left ventricular outflow tract (LVOT), offering information difficult to obtain otherwise.
- CT facilitates accurate prosthesis sizing and planning for TMVR procedures.
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
32
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
32
01:25Mitral Regurgitation III: Medical Management
40
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
40
01:22Mitral Valve Prolapse II: Assessment and Management
53
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...
53
01:27Mitral Stenosis IV: Nursing Management
60
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
60
01:19Mitral Valve Prolapse III: Nursing Management
46
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
46
01:28Mitral Regurgitation IV: Nursing Management
109
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
109