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L'emergente ruolo dell'ecocardiografia transesofagea tridimensionale come guida durante la procedura di MitraClip


Murzilli, Romina; Pedrazzini, Giovanni; Pasotti, Elena; Moccetti, Tiziano; Faletra, Francesco Fulvio; Leo, Laura Anna (2015). L'emergente ruolo dell'ecocardiografia transesofagea tridimensionale come guida durante la procedura di MitraClip. Giornale Italiano di Cardiologia (2006. Testo stampato), 16(10):549-554.

Abstract

Percutaneous edge-to-edge mitral valve repair with the MitraClip device has been shown to be a safe and effective procedure in selected patients with moderate-to-severe mitral regurgitation. Two-dimensional transesophageal echocardiography (2D TEE) is the primary imaging modality for guidance of the procedure. Real-time three-dimensional (3D) TEE has recently been used as additional imaging modality during the MitraClip procedure. In comparison with 2D TEE, 3D TEE provides additional information in several steps of the procedure, including precise positioning of the clip delivery system into the left atrium, correct alignment of the clip arms perpendicular to the coaptation line and confirmation of the correct grasping location. This review describes the relevant role of 3D TEE imaging during the procedure, but also its limitations.

Abstract

Percutaneous edge-to-edge mitral valve repair with the MitraClip device has been shown to be a safe and effective procedure in selected patients with moderate-to-severe mitral regurgitation. Two-dimensional transesophageal echocardiography (2D TEE) is the primary imaging modality for guidance of the procedure. Real-time three-dimensional (3D) TEE has recently been used as additional imaging modality during the MitraClip procedure. In comparison with 2D TEE, 3D TEE provides additional information in several steps of the procedure, including precise positioning of the clip delivery system into the left atrium, correct alignment of the clip arms perpendicular to the coaptation line and confirmation of the correct grasping location. This review describes the relevant role of 3D TEE imaging during the procedure, but also its limitations.

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Additional indexing

Other titles:The emerging role of three-dimensional transesophageal echocardiography in guiding the MitraClip procedure
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Cardiocentro Ticino
Dewey Decimal Classification:610 Medicine & health
Language:Italian
Date:October 2015
Deposited On:26 Nov 2015 15:42
Last Modified:05 Apr 2016 19:33
Publisher:CEPI-AIM Group
ISSN:1827-6806
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1714/2028.22038
PubMed ID:26444213

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