Novel intracardiac echocardiography‐guided catheter‐based removal of inoperable tricuspid valve vegetation

2021 ◽  
Author(s):  
Tarek A. Hammad ◽  
Yasir Abu‐Omar ◽  
Mehdi H. Shishehbor
Keyword(s):  
Tricuspid Valve ◽  
Intracardiac Echocardiography

Intracardiac echocardiography to enable successful edge-to-edge transcatheter tricuspid valve repair in patients with insufficient TEE quality

2020 ◽  
Vol 76 (2) ◽  
pp. 199-210
Author(s):  
Jonathan Curio ◽  
Kamal Abulgasim ◽  
Mario Kasner ◽  
Andi Rroku ◽  
Alexander Lauten ◽  
...  
Keyword(s):  
Image Quality ◽  
Tricuspid Valve ◽  
Care Center ◽  
Tertiary Care ◽  
Significant Proportion ◽  
Intracardiac Echocardiography ◽  
Tricuspid Valve Repair ◽  
Valve Repair ◽  
Vena Contracta ◽  
Additional Tool

BACKGROUND: Transesophageal echocardiography (TEE) as a guiding tool for edge-to-edge transcatheter tricuspid valve repair (EETVr) using MitraClip (Abbott Vascular, Santa Clara, USA) may not offer sufficient image quality in a significant proportion of patients. OBJECTIVES: Intracardiac echocardiography (ICE) as additional guiding tool in EETVr with the MitraClip device. METHODS: Appropriate angulations of the ICE catheter to visualize each commissure of the tricuspid valve were established in 3D printed heart models. In a single tertiary-care center ICE was used to support EETVr as additional guidance when TEE image quality was insufficient. Procedural safety and outcomes up to 30-days were compared between ICE/TEE and TEE only guided patients. RESULTS: In 6 of 11 patients (54.5%) undergoing EETVr with MitraClip TEE alone was unsatisfactory, necessitating additional ICE guidance. In 4 of these 6 patients ICE enabled a successful completion of the procedure. The steering maneuvers identified in the 3D models were well applicable in all patients, providing examples for potential future ICE implementation in EETVr. Under both TEE alone (n = 5) and ICE (n = 6) guidance the rate of procedural complications was 0%. According to vena contracta values at discharge significant TR reduction was achievable in the treated cohort (p = 0.011). At 30-days follow-up one patient (ICE guided) died following global heart failure, not associated with the procedure itself. CONCLUSIONS: ICE guidance may offer an additional tool to guide EETVr with the MitraClip device in patients with poor TEE quality, as it enables successful results without impairing procedural safety.

Transcatheter tricuspid valve repair with the MitraClip system using intracardiac echocardiography: proof of concept

2017 ◽  
Vol 13 (12) ◽  
pp. e1452-e1453 ◽  
Author(s):  
Alberto Pozzoli ◽  
Maurizio Taramasso ◽  
Michel Zuber ◽  
Francesco Maisano
Keyword(s):  
Tricuspid Valve ◽  
Intracardiac Echocardiography ◽  
Tricuspid Valve Repair ◽  
Proof Of Concept ◽  
Valve Repair ◽  
Mitraclip System

Intracardiac echocardiography during transcatheter tricuspid valve-in-valve implantation

2017 ◽  
Vol 33 (3) ◽  
pp. 285-287 ◽  
Author(s):  
Mike Saji ◽  
Gorav Ailawadi ◽  
Valerie Izarnotegui ◽  
Dale E. Fowler ◽  
D. Scott Lim
Keyword(s):  
Tricuspid Valve ◽  
Intracardiac Echocardiography ◽  
Valve In Valve ◽  
Valve Implantation

scholarly journals Role of intracardiac echocardiography for guiding ablation of tricuspid valve arrhythmias

2018 ◽  
Vol 4 (6) ◽  
pp. 209-213
Author(s):  
Andres Enriquez ◽  
Carlos Tapias ◽  
Diego Rodriguez ◽  
Juan Ramirez ◽  
Raphael Rosso ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Intracardiac Echocardiography

Percutaneous Tricuspid Valve Annuloplasty Under Conscious Sedation (With Only Fluoroscopic and Intracardiac Echocardiography Monitoring)

2017 ◽  
Vol 10 (6) ◽  
pp. 620-621 ◽  
Author(s):  
Azeem Latib ◽  
Antonio Mangieri ◽  
Luca Vicentini ◽  
Luca Ferri ◽  
Matteo Montorfano ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Conscious Sedation ◽  
Intracardiac Echocardiography ◽  
Tricuspid Valve Annuloplasty
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