Echocardiographic Imaging of Procedural Complications During Balloon-Expandable Transcatheter Aortic Valve Replacement

Abstract Transcatheter aortic valve replacement (TAVR) using a balloon-expandable valve is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high risk or inoperable patients. Intraprocedural transesophageal echocardiography (TEE) offers real-time imaging guid...

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Bibliographic Details
Published in:JACC. Cardiovascular imaging 2015-03, Vol.8 (3), p.288-318
Main Authors: Hahn, Rebecca T., MD, Kodali, Susheel, MD, Tuzcu, E. Murat, MD, Leon, Martin B., MD, Kapadia, Samir, MD, Gopal, Deepika, MD, Lerakis, Stamatios, MD, Lindman, Brian R., MD, Wang, Zuyue, MD, Webb, John, MD, Thourani, Vinod H., MD, Douglas, Pamela S., MD
Format: Article
Language:English
Subjects:
aortic stenosis
Aortic Valve - diagnostic imaging
Aortic Valve - physiopathology
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - therapy
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiovascular
Clinical Trials as Topic
echocardiography
Echocardiography - methods
Echocardiography, Doppler, Color
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Hemodynamics
Humans
Intraoperative Care
Predictive Value of Tests
Prosthesis Design
Risk Factors
Severity of Illness Index
transcatheter aortic valve replacement
Treatment Outcome
Ultrasonography, Interventional - methods
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Summary:Abstract Transcatheter aortic valve replacement (TAVR) using a balloon-expandable valve is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high risk or inoperable patients. Intraprocedural transesophageal echocardiography (TEE) offers real-time imaging guidance throughout the procedure and allows for rapid and accurate assessment of complications and procedural results. The value of intraprocedural TEE for TAVR will likely increase in the future as this procedure is performed in lower surgical risk patients, who also have lower risk for general anesthesia, but a greater expectation of optimal results with lower morbidity and mortality. This imaging compendium from the PARTNER (Placement of Aortic Transcatheter Valves) trials is intended to be a comprehensive compilation of intraprocedural complications imaged by intraprocedural TEE and diagnostic tools to anticipate and/or prevent their occurrence.
ISSN:1936-878X
1876-7591
DOI:10.1016/j.jcmg.2014.12.013