Use of transesophageal echocardiography for transcatheter valvein-valve implantation for patients with prior bioprosthetic surgical aortic, mitral, tricuspid, and pulmonic valves

Ankit A. Bhargava, Nikoloz Shekiladze, Joe Xie, Annapoorna Kini, Patrick T. Gleason, Stamatios Lerakis

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Valve-in-valve (ViV) transcatheter procedures are the preferred option for redo valve replacement in patients who otherwise would be high risk for surgery. Transesophageal echocardiography (TEE) is an integral imaging modality for both peri-procedural and intra-procedural guidance during transcatheter ViV replacement. When intentional leaflet laceration is needed, such as with the BASILICA (Bioprosthetic or native Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstructions during TAVR) or LAMPOON (Laceration of the Anterior Mitral valve leaflet to Prevent left ventricular Outlet ObstructioN) procedures, TEE is critical to proper guidewire positioning and achieving a successful laceration. In this paper we detail the role of TEE in ViV transcatheter valve replacement in patients with prior surgical aortic, mitral, tricuspid, and pulmonic valves.

Original languageEnglish
Pages (from-to)605-620
Number of pages16
JournalAnnals of Cardiothoracic Surgery
Volume10
Issue number5
DOIs
StatePublished - Sep 2021

Keywords

  • BASILICA
  • LAMPOON
  • Valve-in-valve (ViV)
  • transcatheter aortic valve replacement (TAVR)
  • transcatheter mitral valve replacement (TMVR)

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