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Echocardiographic imaging of procedural complications during balloon-expandable transcatheter aortic valve replacement.

ABSTRACT: Transcatheter aortic valve replacement (TAVR) using a balloon-expandable valve is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high risk or inoperable patients. Intraprocedural transesophageal echocardiography (TEE) offers real-time imaging guidance throughout the procedure and allows for rapid and accurate assessment of complications and procedural results. The value of intraprocedural TEE for TAVR will likely increase in the future as this procedure is performed in lower surgical risk patients, who also have lower risk for general anesthesia, but a greater expectation of optimal results with lower morbidity and mortality. This imaging compendium from the PARTNER (Placement of Aortic Transcatheter Valves) trials is intended to be a comprehensive compilation of intraprocedural complications imaged by intraprocedural TEE and diagnostic tools to anticipate and/or prevent their occurrence.

SUBMITTER: Hahn RT 

PROVIDER: S-EPMC4428173 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature

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Echocardiographic imaging of procedural complications during balloon-expandable transcatheter aortic valve replacement.

Hahn Rebecca T RT   Kodali Susheel S   Tuzcu E Murat EM   Leon Martin B MB   Kapadia Samir S   Gopal Deepika D   Lerakis Stamatios S   Lindman Brian R BR   Wang Zuyue Z   Webb John J   Thourani Vinod H VH   Douglas Pamela S PS  

JACC. Cardiovascular imaging 20150301 3

Transcatheter aortic valve replacement (TAVR) using a balloon-expandable valve is an accepted alternative to surgical replacement for severe, symptomatic aortic stenosis in high risk or inoperable patients. Intraprocedural transesophageal echocardiography (TEE) offers real-time imaging guidance throughout the procedure and allows for rapid and accurate assessment of complications and procedural results. The value of intraprocedural TEE for TAVR will likely increase in the future as this procedur  ...[more]

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