Role of echocardiography in percutaneous mitral valve interventions.
Intraprocedural imaging continues to evolve in parallel with advances in percutaneous mitral valve interventions. This didactic review uses several illustrations and rich intraprocedural videos to further describe and demonstrate the role of the most up-to-date echocardiographic and advanced imaging technologies in the patient selection and intraprocedural guidance of percutaneous mitral valve interventions. We will focus on 3 interventions: 1) percutaneous balloon mitral valvuloplasty for mitral stenosis; 2) transcatheter edge-to-edge repair of mitral valve regurgitation; and 3) transcatheter closure of periprosthetic mitral regurgitation. In addition, we discuss potential pitfalls of 3-dimensional transesophageal echocardiography and show examples of this technique.
Department of Cardiovascular Disease, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
João L
JL
Cavalcante
L Leonardo
LL
Rodriguez
Samir
S
Kapadia
E Murat
EM
Tuzcu
William J
WJ
Stewart
D063126:Balloon Valvuloplasty; D006328:Cardiac Catheterization; D004452:Echocardiography; D018618:Echocardiography, Doppler, Color; D018619:Echocardiography, Doppler, Pulsed; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000628:therapy*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*