Three-Dimensional Intracardiac Echocardiography for Tricuspid Transcatheter Edge-to-Edge Repair

Scott M. Chadderdon*, Mackram F. Eleid, Jeremy J. Thaden, Raj Makkar, Mamoo Nakamura, Vasilis Babaliaros, Adam Greenbaum, Patrick Gleason, Susheel Kodali, Rebecca T. Hahn, Konstantinos P. Koulogiannis, Leo Marcoff, Paul Grayburn, Robert L. Smith, Howard K. Song, D. Scott Lim, William A. Gray, Katie Hawthorne, Florian Deuschl, Akhil NarangCharles Davidson, Firas E. Zahr

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish (US)
Article number100071
JournalStructural Heart
Volume6
Issue number4
DOIs
StatePublished - Aug 2022

Keywords

  • Intracardiac echocardiography
  • Transcatheter tricuspid edge-to-edge repair
  • Tricuspid regurgitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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