title: Echocardiographic guidance for diagnostic and therapeutic percutaneous procedures.
abstract: Echocardiographic guidance has an important role in percutaneous cardiovascular procedures and vascular access. The advantages include real time imaging, portability, and availability, which make it an effective imaging modality. This article will review the role of echocardiographic guidance for diagnostic and therapeutic percutaneous procedures, specifically, transvenous and transarterial access, pericardiocentesis, endomyocardial biopsy, transcatheter pulmonary valve replacement, pulmonary valve repair, transcatheter aortic valve implantation, and percutaneous mitral valve repair. We will address the ways in which echocardiographic guidance provides these procedures with detailed information on anatomy, adjacent structures, and intraprocedural instrument position, thus resulting in improvement in procedural efficacy, safety and patient outcomes.
authors.affiliation: Cedars Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USA.
authors.forename: Cam Tu
authors.initials: CT
authors.lastname: Nguyen
authors.forename: Eunice
authors.initials: E
authors.lastname: Lee
authors.forename: Huai
authors.initials: H
authors.lastname: Luo
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Siegel
keywords: Percutaneous cardiovascular procedures; echocardiographic guidance; vascular access