Computed Tomography-Derived Transesophageal Echocardiographic Views

HomeCirculation: Cardiovascular ImagingVol. 14, No. 1Computed Tomography-Derived Transesophageal Echocardiographic Views Free AccessCase ReportPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyRedditDiggEmail Jump toSupplementary MaterialsFree ReportPDF/EPUBComputed ViewsStep Forward for Procedural Planning of Transcatheter Tricuspid Valve Annuloplasty Federico Fortuni, MD Kensuke Hirasawa, MD, PhD Ana I. Marques, Stephan M. Pio, Surenjav Chimed, Rodolfo Lustosa, Catherina Tjahjadi, Xu Wang, Jeroen J. Bax, Nina Ajmone Marsan, Victoria DelgadoMD, FortuniFederico Fortuni Department Cardiology, Leiden University Medical Center, The Netherlands (F.F., K.H., S.M.P., S.C., R.L., C.T., X.W., J.J.B., N.A.M., V.D.). Molecular Medicine, Unit Pavia, Italy (F.F.). Search more papers by this author , HirasawaKensuke Hirasawa https://orcid.org/0000-0002-1796-3677 MarquesAna Marques https://orcid.org/0000-0001-8341-6412 PioStephan Pio ChimedSurenjav Chimed LustosaRodolfo Lustosa TjahjadiCatherina Tjahjadi WangXu Wang BaxJeroen Bax MarsanNina Marsan DelgadoVictoria Delgado Delgado, Heart Lung Albinusdreef 2 2300 RC Leiden, the Netherlands. Email E-mail Address: [email protected] https://orcid.org/0000-0002-9841-2737 Originally published5 Jan 2021https://doi.org/10.1161/CIRCIMAGING.120.011107Circulation: Imaging. 2021;14:e011107Transthoracic and transesophageal echocardiography (TEE) multidetector row computed tomography (MDCT) are pivotal in selection patients preprocedural planning transcatheter valvular interventions.1–3 For tricuspid valve (TV) annuloplasty with Cardioband system (Edwards Lifesciences, Irvine, CA), high spatial resolution data acquired MDCT permit accurate measurement dimensions TV annulus select device size assessment distance between right coronary artery (Figure 1).1 Echocardiography is mainstay imaging modality grade regurgitation severity assess its mechanism. To guide procedure, TEE fluoroscopy techniques choice. However, has lower compared does not allow identify course along annulus. Furthermore, considered relative far position from probe, most it might be difficult image location where anchors should placed. A dedicated software (3mensio, Pie Imaging BV) post-processing permits reproduce views, which may images during intervention. This novel tool facilitate also communication interventionalists imagers. Specifically, annuloplasty, help better understand individual anatomy allows place best views procedure Video 1 Data Supplement).Download figureDownload PowerPointFigure 1. Key steps annuloplasty.A, view plane. (red circle) (green line) can manually defined predict (A1–A17). plane visualize adjusted on corresponding sagittal (B). C, Displays a predicted left anterior oblique (LAO) fluoroscopic structures that have been previously corresponds well intraprocedural (D), arrow), (yellow delivery (white arrow) identified. Ao indicates aorta; CAU, caudal; CRA, cranial; LV, ventricle; MPR, multiplanar reconstruction; RA, atrium; RV, ventricle.Download 2. Computed tomography-derived annuloplasty. postprocessing trace artery, (A1–A17) system, them. A, Shows mid-esophageal 4-chamber MDCT-derived focused chambers. cursor placed across obtain an orthogonal display modified bicaval 3-dimensional rendering heart probe located posteriorly at level, while (D) shows projection procedure. anchor; Ao, LA, RAO, oblique; ventricle.We present case 78-year-old patient residual severe secondary after edge-to-edge repair New York Association class III failure symptoms who underwent because operative risk. In preoperative evaluation, portion was particularly challenging. were determinant identifying angulation 3A 3B). successful significant reduction annular diameter 3C) accompanied improvement month procedure.Download 3. postprocess (A), virtual adjust settings derive B, catheter approaching one first Demonstrates (upper image) moderate (lower AoV aortic valve; LCC, cusp; NCC, noncoronary RCC, ventricle.Sources FundingNone.Disclosures Dr received funding European Society Cardiology form ESC Research Grant. reference application number R-2018-17759. Training T-2018-17405. Center research grants Abbott Vascular, Bioventrix, Medtronic, Biotronik, Boston Scientific, GE Healthcare Edwards Lifesciences. Drs speaking fees Vascular. speaker MSD, Healthcare. other authors report no conflicts.FootnotesThe Supplement available https://www.ahajournals.org/doi/suppl/10.1161/CIRCIMAGING.120.011107.Victoria v.[email protected]nlReferences1. Naoum Blanke P, Cavalcante JL, Leipsic Cardiac magnetic resonance evaluation mitral disease: implications interventions.Circ Cardiovasc 2017; 10:e005331. doi: 10.1161/CIRCIMAGING.116.005331LinkGoogle Scholar2. Hahn RT. State-of-the-art review echocardiographic treatment functional regurgitation.Circ 2016; 9:e005332. 10.1161/CIRCIMAGING.116.005332LinkGoogle Scholar3. Dulgheru R, Pibarot Sengupta PP, Piérard Rosenhek Magne J, Donal E, Bernard Fattouch K, Cosyns et al.. Multimodality strategies stenosis: viewpoint Clinic International Database (HAVEC) Group.Circ 9:e004352. 10.1161/CIRCIMAGING.115.004352LinkGoogle Scholar Previous Back top Next FiguresReferencesRelatedDetails January 2021Vol Issue 1Article InformationMetrics Download: 163 © 2020 American Association, Inc.https://doi.org/10.1161/CIRCIMAGING.120.011107PMID: 33401920 publishedJanuary 5, 2021 Keywordsmultidetector tomographyechocardiographytricuspid valvefluoroscopyPDF download SubjectsTreatmentCatheter-Based Coronary Valvular Interventions