Echocardiographic imaging of procedural complications during balloon-expandable transcatheter aortic valve replacement. [Review]

MedStar author(s):
Citation: Jacc: Cardiovascular Imaging. 8(3):288-318, 2015 Mar.PMID: 25772835Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | Review | Video-Audio MediaSubject headings: *Aortic Valve Stenosis/th [Therapy] | *Aortic Valve Stenosis/us [Ultrasonography] | *Aortic Valve/us [Ultrasonography] | *Cardiac Catheterization/ae [Adverse Effects] | *Echocardiography/mt [Methods] | *Heart Valve Prosthesis Implantation/ae [Adverse Effects] | *Ultrasonography, Interventional/mt [Methods] | Aortic Valve Stenosis/pp [Physiopathology] | Aortic Valve/pp [Physiopathology] | Cardiac Catheterization/is [Instrumentation] | Clinical Trials as Topic | Echocardiography, Doppler, Color | Echocardiography, Three-Dimensional | Echocardiography, Transesophageal | Heart Valve Prosthesis | Heart Valve Prosthesis Implantation/is [Instrumentation] | Hemodynamics | Humans | Intraoperative Care | Predictive Value of Tests | Prosthesis Design | Risk Factors | Severity of Illness Index | Treatment OutcomeYear: 2015ISSN:
  • 1876-7591
Name of journal: JACC. Cardiovascular imagingAbstract: 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. Copyright � 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.All authors: Douglas PS, Gopal D, Hahn RT, Kapadia S, Kodali S, Leon MB, Lerakis S, Lindman BR, Thourani VH, Tuzcu EM, Wang Z, Webb JFiscal year: FY2015Digital Object Identifier: Date added to catalog: 2016-01-15
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Journal Article MedStar Authors Catalog Article 25772835 Available 25772835

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. Copyright � 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

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