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01-03-2013 | Echocardiography (RM Lang, Section Editor)

Interventional Echocardiography in Structural Heart Disease

Authors: Gila Perk, Itzhak Kronzon

Published in: Current Cardiology Reports | Issue 3/2013

Abstract

Over the past decade, catheter based treatments of an increasing variety of cardiac diseases have expanded dramatically. These advancements became available through new developments and improvements in available devices, as well as increasing expertise of operators. However, arguably it is the innovation and progress in imaging techniques, and in particular in echocardiography, that allowed for such a surge in available percutaneous procedures. In this paper, current echocardiographic techniques, imaging protocols and recommendations will be reviewed and clinical examples will be shown to illustrate the use and importance of echocardiographic imaging in catheter based procedures for structural heart disease.

•• Kodali SK, Williams MR, Smith CR, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012;366(18):1686–95. Randomized trials showing outcome data pertaining to new, catheter-based procedures that are currently in use.PubMedCrossRef

•• Makkar RR, Fontana GP, Jilaihawi H, et al. Transcatheter aortic-valve replacement for inoperable severe aortic stenosis. N Engl J Med. 2012;366(18):1696–704. Randomized trials showing outcome data pertaining to new, catheter-based procedures that are currently in use.PubMedCrossRef

•• Feldman T, Foster E, Glower DD, et al. Percutaneous repair or surgery for mitral regurgitation. N Engl J Med. 2011;364(15):1395–406. Randomized trials showing outcome data pertaining to new, catheter-based procedures that are currently in use.PubMedCrossRef

Butera G, Carminati M, Chessa M, et al. Percutaneous versus surgical closure of secundum atrial septal defect: comparison of early results and complications. Am Heart J. 2006;151(1):228–34.PubMedCrossRef

Mookadam F, Raslan SF, Jiamsripong P, Jalal U, Murad MH. Percutaneous closure of mitral paravalvular leaks: a systematic review and meta-analysis. J Heart Valve Dis. 2012;21(2):208–17.PubMed

Ruiz CE, Jelnin V, Kronzon I, et al. Clinical outcomes in patients undergoing percutaneous closure of periprosthetic paravalvular leaks. J Am Coll Cardiol. 2011;58(21):2210–7.PubMedCrossRef

Gangireddy SR, Halperin JL, Fuster V, Reddy VY. Percutaneous left atrial appendage closure for stroke prevention in patients with atrial fibrillation: an assessment of net clinical benefit. Eur Heart J. 2012. doi:10.1093/eurheartj/ehs292.

Piccini JP, Sinner MF, Greiner MA, et al. Outcomes of Medicare beneficiaries undergoing catheter ablation for atrial fibrillation. Circulation. 2012. doi:10.1161/CIRCULATIONAHA.112.109330.

Khan MN, Jaïs P, Cummings J, et al. Pulmonary-vein isolation for atrial fibrillation in patients with heart failure. N Engl J Med. 2008;359(17):1778–85.PubMedCrossRef

10.

Perk G, Lang RM, Garcia-Fernandez MA, et al. Use of real time three-dimensional transesophageal echocardiography in intracardiac catheter based interventions. J Am Soc Echocardiogr. 2009;22(8):865–82.PubMedCrossRef

11.

Balzer J, Kelm M, Kühl HP. Real time three dimensional transoesophageal echocardiography for guidance of non-coronary interventions in the catheter laboratory. Eur J Echocardiogr. 2009;10(3):341–9.PubMedCrossRef

12.

Hijazi ZM, Shivkumar K, Sahn DJ. Intracardiac echocardiography during interventional and electrophysiological cardiac catheterization. Circulation. 2009;119(4):587–96.PubMedCrossRef

13.

Schubert S, Kainz S, Peters B, Berger F, Ewert P. Interventional closure of atrial septal defects without fluoroscopy in adult and pediatricpatients. Clin Res Cardiol. 2012;101(9):691–700.PubMedCrossRef

14.

Jelnin V, Dudiy Y, Einhorn BN, et al. Clinical experience with percutaneous left ventricular transapical access for interventions in structural heart defects a safe access and secure exit. JACC Cardiovasc Interv. 2011;4(8):868–74.PubMedCrossRef

15.

• Saric M, Perk G, Purgess JR, Kronzon I. Imaging atrial septal defects by real-time three-dimensional transesophageal echocardiography: step-by-step approach. J Am Soc Echocardiogr. 2010;23(11):1128–35. Describing new imaging protocols or setting standards for 3-dimensional imaging.PubMedCrossRef

16.

• Faletra FF, Nucifora G, Ho SY. Imaging the atrial septum using real-time three-dimensional transesophagealechocardiography: technical tips, normal anatomy, and its role in transseptal puncture. J Am Soc Echocardiogr. 2011;24(6):593–9. Describing new imaging protocols or setting standards for 3-dimensional imaging.PubMedCrossRef

17.

Lodato JA, Cao QL, Weinert L, et al. Feasibility of real-time three-dimensional transesophageal echocardiography for guidance of percutaneous atrial septal defect closure. Eur J Echocardiogr. 2009;10(4):543–8.PubMedCrossRef

18.

Faletra FF, Nucifora G, Ho SY. Real-time 3-dimensional transesophageal echocardiography of the atrioventricular septal defect. Circ Cardiovasc Imaging. 2011;4(3):e7–9.PubMedCrossRef

19.

Halpern DG, Perk G, Ruiz C, Marino N, Kronzon I. Percutaneous closure of a post-myocardial infarction ventricular septal defect guided by real-time three-dimensional echocardiography. Eur J Echocardiogr. 2009;10(4):569–71.PubMedCrossRef

20.

Flachskampf FA, Badano L, Daniel WG, et al. Recommendations for transoesophageal echocardiography: update 2010. Eur J Echocardiogr. 2010;11(7):557–76.PubMedCrossRef

21.

•• Zamorano JL, Badano LP, Bruce C. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. J Am Soc Echocardiogr. 2011;24(9):937–65. Randomized trials showing outcome data pertaining to new, catheter-based procedures that are currently in use.PubMedCrossRef

22.

Cavalcante JL, Rodriguez LL, Kapadia S, Tuzcu EM, Stewart WJ. Role of echocardiography in percutaneous mitral valve interventions. JACC Cardiovasc Imaging. 2012;5(7):733–46.PubMedCrossRef

23.

Naqvi TZ. Echocardiography in percutaneous valve therapy. JACC Cardiovasc Imaging. 2009;2(10):1226–37.PubMedCrossRef

24.

Sugeng L, Shernan SK, Weinert L, et al. Real time three-dimensional transesophageal echocardiography in valve disease: comparison with surgical findings and evaluation of prosthetic valves. J Am Soc Echocardiogr. 2008;21(12):1347–54.PubMedCrossRef

25.

Lang RM, Tsang W, Weinert L, Mor-Avi V, Chandra S. Valvular heart disease. The value of 3-dimensional echocardiography. J Am Coll Cardiol. 2011;58(19):1933–44.PubMedCrossRef

26.

Lang RM, Badano LP, Tsang W, et al. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012;25(1):3–46.PubMedCrossRef

27.

Biner S, Perk G, Kar S, et al. Utility of combined two-dimensional and three-dimensional transesophageal imaging for catheter-based mitral valve clip repair of mitral regurgitation. J Am Soc Echocardiogr. 2011;24(6):611–7.PubMedCrossRef

28.

Park SH, Kim MA, Hyon MS. The advantages of on-line transesophageal echocardiography guide during percutaneous balloon mitral valvuloplasty. J Am SocEchocardiogr. 2000;13(1):26–34.

29.

Poh KK, Levine RA, Solis J, Shen L, et al. Assessing aortic valve area in aortic stenosis by continuity equation: a novel approach using real-time three-dimensional echocardiography. Eur Heart J. 2008;29(20):2526–35.PubMedCrossRef

30.

O'Brien B, Schoenhagen P, Kapadia SR, et al. Integration of 3D imaging data in the assessment of aortic stenosis: impact on classification of disease severity. Circ Cardiovasc Imaging. 2011;4(5):566–73.PubMedCrossRef

31.

Doddamani S, Bello R, Friedman MA, et al. Demonstration of left ventricular outflow tract eccentricity by real time 3D echocardiography: implications for the determination of aortic valve area. Echocardiography. 2007;24(8):860–6.PubMedCrossRef

32.

Saitoh T, Shiota M, Izumo M, et al. Comparison of left ventricular outflow geometry and aortic valve area in patients with aortic stenosis by 2-dimensional versus 3-dimensional echocardiography. Am J Cardiol. 2012;109(11):1626–31.PubMedCrossRef

33.

Moss RR, Ivens E, Pasupati S, et al. Role of echocardiography in percutaneous aortic valve implantation. JACC Cardiovasc Imaging. 2008;1(1):15–24.PubMedCrossRef

34.

Berry C, Oukerraj L, Asgar A, et al. Role of transesophageal echocardiography in percutaneous aortic valve replacement with the CoreValve Revalving system. Echocardiography. 2008;25(8):840–8.PubMedCrossRef

35.

Tsang W, Weinert L, Kronzon I, Lang RM. Three-dimensional echocardiography in the assessment of prosthetic valves. Rev Esp Cardiol. 2011;64(1):1–7.PubMedCrossRef

36.

Kronzon I, Sugeng L, Perk G, et al. Real-time 3-dimensioanl transesophageal echocardiography in the evaluation of post operative mitral annuloplasty ring and prosthetic valve dehiscence. J Am Coll Cardiol. 2009;53(17):1543–7.PubMedCrossRef

37.

Perk G, Biner S, Kronzon I. Catheter-based left atrial appendage occlusion procedure: role of echocardiography. Eur Heart J Cardiovasc Imaging. 2012;13(2):132–8.PubMedCrossRef

38.

Brinkman V, Kalbfleisch S, Auseon A, Pu M. Real time three-dimensional transesophageal echocardiography-guided placement of left atrial appendage occlusion device. Echocardiography. 2009;26(7):855–8.PubMedCrossRef

39.

Mackensen GB, Hegland D, Rivera D, Adams DB, Bahnson TD. Real-time 3-dimensional transesophageal echocardiography during left atrial radiofrequencycatheter ablation for atrial fibrillation. Circ Cardiovasc Imaging. 2008;1(1):85–6.PubMedCrossRef

Title: Interventional Echocardiography in Structural Heart Disease
Authors: Gila Perk
Itzhak Kronzon
Publication date: 01-03-2013
Publisher: Current Science Inc.
Published in: Current Cardiology Reports / Issue 3/2013
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-012-0338-y

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