Role of 3-dimensional transesophageal echocardiography in guiding transcatheter mitral valve replacement

Echocardiography. 2020 Jun;37(6):945-953. doi: 10.1111/echo.14712. Epub 2020 May 26.

Abstract

Background: Transcatheter mitral valve replacement technologies have been developed to treat a wide range of mitral valve pathologies including primary and secondary mitral regurgitation, mitral stenosis, in addition to degenerative bioprosthetic valves and failed annuloplasty rings.

Objective: Transesophageal echocardiography, particularly with use of 3-dimensional imaging is key in successfully guiding these interventions. In this review, we highlight the key role of 3D transesophageal echocardiography in guiding TMVR, including valve-in-native valve, valve-in-prosthetic valve, valve-in-prosthetic ring, and valve-in-mitral annular calcification interventions.

Keywords: structural interventions; transcatheter mitral valve replacement.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiac Catheterization
  • Echocardiography, Three-Dimensional*
  • Echocardiography, Transesophageal
  • Heart Valve Prosthesis Implantation*
  • Heart Valve Prosthesis*
  • Humans
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / surgery
  • Mitral Valve Insufficiency* / diagnostic imaging
  • Mitral Valve Insufficiency* / surgery
  • Prosthesis Design
  • Treatment Outcome