The transition from transesophageal to transthoracic echocardiography during transcatheter aortic valve replacement: an evolving field

Menhel Kinno, Eric Page Cantey, Vera H. Rigolin*

*Corresponding author for this work

Research output: Contribution to journalReview article

3 Scopus citations

Abstract

The advent of transcatheter aortic valve replacement (TAVR) has dramatically transformed the clinical approach to severe aortic stenosis. Over the last decade, several trials have shown the equivalence or even superiority of transcatheter valve replacement over the conventional surgical approach. As a result, TAVR as a treatment for severe, symptomatic aortic stenosis has rapidly extended from inoperable or prohibited-risk patients to intermediate-risk patients. The success of TAVR has led to the wide adaptation of this technique and, subsequently, a significant increase in the number of these procedures performed annually. As the number of these procedures is expected to further increase, especially if its indication will include those with low surgical risk, there is a great demand to improve patient recovery and early discharge without compromising outcomes. In this review, we will discuss the role of echocardiography in the perioperative planning and assessment of transcatheter aortic valve replacement. In addition, we will review the current evidence behind the use of intraprocedureal transthoracic echocardiography and the recommended steps for successful transition from transesophageal to transthoracic echocardiography.

Original languageEnglish (US)
Pages (from-to)25-34
Number of pages10
JournalJournal of Echocardiography
Volume17
Issue number1
DOIs
StatePublished - Mar 15 2019

Keywords

  • Aortic valve stenosis
  • Interventional echocardiography
  • Intraoperative echocardiography
  • Transcatheter aortic valve replacement
  • Transesophageal echocardiography
  • Transthoracic echocardiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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