Presentation is loading. Please wait.

Presentation is loading. Please wait.

Intracardiac Echocardiography: A New Guiding Tool for Transcatheter Aortic Valve Replacement  Thomas Bartel, MD, Nikolaos Bonaros, MD, Ludwig Müller,

Published byΜήδεια Χατζηιωάννου Modified over 5 years ago

Similar presentations

Presentation on theme: "Intracardiac Echocardiography: A New Guiding Tool for Transcatheter Aortic Valve Replacement  Thomas Bartel, MD, Nikolaos Bonaros, MD, Ludwig Müller,"— Presentation transcript:

1 Intracardiac Echocardiography: A New Guiding Tool for Transcatheter Aortic Valve Replacement 
Thomas Bartel, MD, Nikolaos Bonaros, MD, Ludwig Müller, MD, Guy Friedrich, MD, Michael Grimm, MD, Corinna Velik-Salchner, MD, Gudrun Feuchtner, MD, Florian Pedross, PhD, Silvana Müller, MD  Journal of the American Society of Echocardiography  Volume 24, Issue 9, Pages (September 2011) DOI: /j.echo Copyright © 2011 American Society of Echocardiography Terms and Conditions

2 Figure 1 Longitudinal transcaval/transatrial (A) and short-axis transatrial (B) standard intracardiac echocardiographic views for TAVR. AAo, Ascending aorta; AC, AcuNav catheter; AVP, aortic valve prosthesis; DAo, descending aorta; IVC, inferior vena cava; LV, left ventricle; RA, right atrium; RV, right ventricle; SVC, superior vena cava. Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

3 Figure 2 Transesophageal echocardiographic viewing needs to be interrupted during valve deployment and the probe withdrawn (A), because it would interfere with standard fluoroscopic viewing. After valve deployment, the probe is repositioned to assess the functional result. However, the valve prosthesis is then concealed behind the probe (B). Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

4 Figure 3 Measurement of anterior-to-posterior annular diameter in the longitudinal transcaval intracardiac echocardiographic view (see Video 1 [see video clip online]). Ao, Aorta; LV, left ventricle. Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

5 Figure 4 Longitudinal transcaval (A) and short-axis (B) intracardiac echocardiographic views of aortic valve prosthesis after deployment and at end-diastole (see Videos 2 and 3 [see video clip online]). Ao, Aorta; AVP, aortic valve prosthesis; LV, left ventricle; 1, minimal paravalvular leak; RA, right atrium; RCA, right coronary artery. Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

6 Figure 5 Intracardiac spectral Doppler analyses of the native aortic valve (A), after predilatation (B), and after deployment of a 23-mm-diameter Edwards Sapien transcatheter heart valve prosthesis (C) on the basis of highest signal quality reveal decline of pressure gradient (PG) (see Videos 4 and 5 [see video clip online]). Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

7 Figure 6 Comparative measurements of transvalvular pressure gradients reveal higher gradients in group 1 (measurements were possible in all patients [n = 25]) (diamonds) than in group 2 (measurements were possible in a small majority of patients [n = 11]) (squares) under all conditions: native aortic valve (A) (P = .031), after predilatation (B) (P = .001), and after deployment of the valve prosthesis (C) (P < .001). Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

8 Figure 7 Longitudinal intracardiac echocardiographic view demonstrates both coronary arteries branching off above the opened aortic valve prosthesis. Ao, Aorta; LCA, left coronary artery, RCA, right coronary artery. Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

9 Figure 8 Regression analysis of preprocedural transesophageal versus intraprocedural intracardiac measurements of posterior-to-anterior aortic annular diameter in group 1. Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

10 Figure 9 Comparison between left ventricular ejection fraction (LVEF) (percentage) after valve deployment on ICE (group 1) and TEE (group 2). Journal of the American Society of Echocardiography  , DOI: ( /j.echo ) Copyright © 2011 American Society of Echocardiography Terms and Conditions

Download ppt "Intracardiac Echocardiography: A New Guiding Tool for Transcatheter Aortic Valve Replacement  Thomas Bartel, MD, Nikolaos Bonaros, MD, Ludwig Müller,"

Similar presentations

Date of download: 6/22/2016 Copyright © The American College of Cardiology. All rights reserved. From: Management of coronary artery fistulae: Patient.

Date of download: 6/22/2016 Copyright © The American College of Cardiology. All rights reserved. From: Management of coronary artery fistulae: Patient.
A-F. Intracardiac echocardiography images

A-F. Intracardiac echocardiography images
Normal anatomy at cardiac CT angiography

Normal anatomy at cardiac CT angiography
David R. Holmes, MD, FACC, Michael J

David R. Holmes, MD, FACC, Michael J
Reduced Left Ventricular Compacta Thickness: A Novel Echocardiographic Criterion for Non-Compaction Cardiomyopathy  Catherine Gebhard, MD, Barbara E.

Reduced Left Ventricular Compacta Thickness: A Novel Echocardiographic Criterion for Non-Compaction Cardiomyopathy  Catherine Gebhard, MD, Barbara E.
Normal anatomy at cardiac CT angiography

Normal anatomy at cardiac CT angiography
Volume 1, Issue 2, Pages (April 2017)

Volume 1, Issue 2, Pages (April 2017)
Intracardiac Echocardiography: A New Guiding Tool for Transcatheter Aortic Valve Replacement  Thomas Bartel, MD, Nikolaos Bonaros, MD, Ludwig Müller,

Intracardiac Echocardiography: A New Guiding Tool for Transcatheter Aortic Valve Replacement  Thomas Bartel, MD, Nikolaos Bonaros, MD, Ludwig Müller,
João Silva Marques, MD, Manuel Gato Varela, MD, Ana G

João Silva Marques, MD, Manuel Gato Varela, MD, Ana G
David R. Holmes, MD, Michael J

David R. Holmes, MD, Michael J
Volume 1, Issue 2, Pages (April 2017)

Volume 1, Issue 2, Pages (April 2017)
Contribution of Three-Dimensional Transesophageal Echocardiography to Diagnosis and Management of Thrombosis of a St. Jude Mechanical Prosthesis in the.

Contribution of Three-Dimensional Transesophageal Echocardiography to Diagnosis and Management of Thrombosis of a St. Jude Mechanical Prosthesis in the.
Circ Cardiovasc Interv

Circ Cardiovasc Interv
Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair  Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,

Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair  Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,
An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor  Dong Zhao, MD, Chunsheng Wang,

An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor  Dong Zhao, MD, Chunsheng Wang,
Spontaneous rupture of the dissected coronary sinus mimicking acute coronary syndrome  Thomas Bartel, MD, Alfred Kocher, MD, Gudrun Feuchtner, MD, Silvana.

Spontaneous rupture of the dissected coronary sinus mimicking acute coronary syndrome  Thomas Bartel, MD, Alfred Kocher, MD, Gudrun Feuchtner, MD, Silvana.
Cardiac Papillary Fibroelastoma: A Treatable Cause of Transient Ischemic Attack and Ischemic Stroke Detected by Transesophageal Echocardiography  Robert.

Cardiac Papillary Fibroelastoma: A Treatable Cause of Transient Ischemic Attack and Ischemic Stroke Detected by Transesophageal Echocardiography  Robert.
Coronary artery-to-left ventricular fistula

Coronary artery-to-left ventricular fistula
Christopher W. Baird, MD, Joseph M. Forbess, MD 

Christopher W. Baird, MD, Joseph M. Forbess, MD 
The ‘coronary artery sandwich anomaly’

The ‘coronary artery sandwich anomaly’

Similar presentations

Ads by Google