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

Rebecca T. Hahn, Linda Gillam, Stephen H. Little

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

Transcatheter aortic valve replacement (TAVR) with the use of the self-expandable Revalving system is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high-risk or inoperable patients. Intraprocedural imaging relies on fluoroscopic guidance, with echocardiographic imaging used as a supportive imaging modality. Intraprocedural transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) offer real-time imaging guidance throughout the procedure and may contribute to improving procedural results. Registries suggest that TAVR may be performed in lower-surgical-risk patients with equal outcomes to high-risk patients with ongoing randomized trials comparing these results with surgical outcomes. Understanding the utility of echocardiographic imaging in diagnosing or preventing complications may be particularly important as we move toward these lower-risk patient populations. This imaging compendium is intended to be a comprehensive compilation of intraprocedural complications imaged by intraprocedural echocardiography.

Original languageEnglish (US)
Pages (from-to)319-336
Number of pages18
JournalJACC: Cardiovascular Imaging
Volume8
Issue number3
DOIs
StatePublished - Mar 1 2015
Externally publishedYes

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Echocardiography
Transesophageal Echocardiography
Aortic Valve Stenosis
Registries
Transcatheter Aortic Valve Replacement
Population

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

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abstract = "Transcatheter aortic valve replacement (TAVR) with the use of the self-expandable Revalving system is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high-risk or inoperable patients. Intraprocedural imaging relies on fluoroscopic guidance, with echocardiographic imaging used as a supportive imaging modality. Intraprocedural transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) offer real-time imaging guidance throughout the procedure and may contribute to improving procedural results. Registries suggest that TAVR may be performed in lower-surgical-risk patients with equal outcomes to high-risk patients with ongoing randomized trials comparing these results with surgical outcomes. Understanding the utility of echocardiographic imaging in diagnosing or preventing complications may be particularly important as we move toward these lower-risk patient populations. This imaging compendium is intended to be a comprehensive compilation of intraprocedural complications imaged by intraprocedural echocardiography.",
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Echocardiographic imaging of procedural complications during self-expandable transcatheter aortic valve replacement. / Hahn, Rebecca T.; Gillam, Linda; Little, Stephen H.

In: JACC: Cardiovascular Imaging, Vol. 8, No. 3, 01.03.2015, p. 319-336.

Research output: Contribution to journalReview article

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