Echocardiographic imaging of procedural complications during balloon-expandable transcatheter aortic valve replacement

Rebecca T. Hahn, Susheel Kodali, E. Murat Tuzcu, Martin B. Leon, Samir Kapadia, Deepika Gopal, Stamatios Lerakis, Brian R. Lindman, Zuyue Wang, John Webb, Vinod H. Thourani, Pamela S. Douglas

Research output: Contribution to journalReview articlepeer-review

47 Scopus citations

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.

Original languageEnglish
Pages (from-to)288-318
Number of pages31
JournalJACC: Cardiovascular Imaging
Volume8
Issue number3
DOIs
StatePublished - 1 Mar 2015
Externally publishedYes

Keywords

  • aortic stenosis
  • echocardiography
  • transcatheter aortic valve replacement

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