Advanced Echocardiographic Guidance for Transcatheter Tricuspid Edge-To-Edge Repair

Cardiol Clin. 2024 Aug;42(3):351-360. doi: 10.1016/j.ccl.2024.01.001. Epub 2024 Feb 10.

Abstract

Echocardiography, in all its forms (transthoracic echocardiography [TTE], transesophageal echocardiography [TEE], and intracardiac echocardiography [ICE]), is pivotal for the evaluation, guidance, and follow-up of transcatheter tricuspid edge-to-edge repair (TV-TEER) therapies. Although two-dimensional (2D) echocardiography remains essential, three-dimensional (3D) echo with multiplanar reconstruction (MPR) has revolutionized the field of structural imaging. In addition, the advent of 3D ICE has added an important modality to the imaging toolbox, particularly helpful when intraprocedural TEE images are challenging. In this review, we provide a detailed, step-by-step approach for advanced echocardiographic guidance of TV-TEER using 3D MPR.

Keywords: 3D multiplanar reconstruction; Transcatheter tricuspid edge-to-edge repair; Transesophageal echocardiography; Tricuspid valve.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization* / methods
  • Echocardiography / methods
  • Echocardiography, Three-Dimensional / methods
  • Echocardiography, Transesophageal / methods
  • Humans
  • Tricuspid Valve Insufficiency* / diagnostic imaging
  • Tricuspid Valve Insufficiency* / surgery
  • Tricuspid Valve* / diagnostic imaging
  • Tricuspid Valve* / surgery
  • Ultrasonography, Interventional / methods