Structural Heart (Aug 2022)
Three-Dimensional Intracardiac Echocardiography for Tricuspid Transcatheter Edge-to-Edge Repair
- Scott M. Chadderdon, MD,
- Mackram F. Eleid, MD,
- Jeremy J. Thaden, MD,
- Raj Makkar, MD,
- Mamoo Nakamura, MD,
- Vasilis Babaliaros, MD,
- Adam Greenbaum, MD,
- Patrick Gleason, MD,
- Susheel Kodali, MD,
- Rebecca T. Hahn, MD,
- Konstantinos P. Koulogiannis, MD,
- Leo Marcoff, MD,
- Paul Grayburn, MD,
- Robert L. Smith, MD,
- Howard K. Song, MD, PhD,
- D. Scott Lim, MD,
- William A. Gray, MD,
- Katie Hawthorne, MD,
- Florian Deuschl, MD,
- Akhil Narang, MD,
- Charles Davidson, MD,
- Firas E. Zahr, MD
Affiliations
- Scott M. Chadderdon, MD
- Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA; Address correspondence to: Scott M. Chadderdon, MD, Knight Cardiovascular Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239.
- Mackram F. Eleid, MD
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
- Jeremy J. Thaden, MD
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
- Raj Makkar, MD
- Smidt Heart Institute, Cedars Sinai Medical Center, Los Angeles, California, USA
- Mamoo Nakamura, MD
- Smidt Heart Institute, Cedars Sinai Medical Center, Los Angeles, California, USA
- Vasilis Babaliaros, MD
- Structural Heart and Valve Center, Emory University Hospital, Atlanta, Georgia, USA
- Adam Greenbaum, MD
- Structural Heart and Valve Center, Emory University Hospital, Atlanta, Georgia, USA
- Patrick Gleason, MD
- Structural Heart and Valve Center, Emory University Hospital, Atlanta, Georgia, USA
- Susheel Kodali, MD
- Structural Heart & Vascular Center, New York Presbyterian Hospital-Columbia University Irving Medical Center, New York, New York, USA
- Rebecca T. Hahn, MD
- Structural Heart & Vascular Center, New York Presbyterian Hospital-Columbia University Irving Medical Center, New York, New York, USA
- Konstantinos P. Koulogiannis, MD
- Department of Cardiovascular Medicine, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey, USA
- Leo Marcoff, MD
- Department of Cardiovascular Medicine, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey, USA
- Paul Grayburn, MD
- Baylor Scott & White The Heart Hospital, Plano, Texas, USA
- Robert L. Smith, MD
- Baylor Scott & White The Heart Hospital, Plano, Texas, USA
- Howard K. Song, MD, PhD
- Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA
- D. Scott Lim, MD
- Division of Cardiology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA
- William A. Gray, MD
- Department of Cardiology, Lankenau Heart Institute, Main Line Health, Wynnewood, Pennsylvania, USA
- Katie Hawthorne, MD
- Department of Cardiology, Lankenau Heart Institute, Main Line Health, Wynnewood, Pennsylvania, USA
- Florian Deuschl, MD
- Edwards Lifesciences, Irvine, California, USA
- Akhil Narang, MD
- Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
- Charles Davidson, MD
- Bluhm Cardiovascular Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
- Firas E. Zahr, MD
- Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA
- Journal volume & issue
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Vol. 6,
no. 4
p. 100071
Abstract
Patients with severe symptomatic tricuspid regurgitation face a significant dilemma in treatment options, as the yearly mortality with medical therapy and the surgical mortality for tricuspid repair or replacement are high. Transcatheter edge-to-edge repair (TEER) for the tricuspid valve is becoming a viable option in patients, although procedural success is dependent on high-quality imaging. While transesophageal echocardiography remains the standard for tricuspid TEER procedures, intracardiac echocardiography (ICE) with three-dimensional (3D) multiplanar reconstruction (MPR) has many theoretical and practical advantages. The aim of this article was to describe the in vitro wet lab–based imaging work done to facilitate the best approach to 3D MPR ICE imaging and the procedural experience gained with 3D MPR ICE in tricuspid TEER procedures with the PASCAL device.
