3D transoesophageal echocardiography in the TAVI sizing arena: should we do it and how do we do it?. Issue 1 (March 2017)

• Record Type: Journal Article
• Authors: Bleakley, Caroline; Eskandari, Mehdi; Monaghan, Mark
• Is Part Of: Echo research and practice. Volume 4:Issue 1(2017)
• Page Start: R21
• Page End: R32
• Publication Date: 2017-03
• Subjects: 3D transoesophageal echo -- aortic stenosis -- transcatheter aortic valve implantation; Echocardiography -- Periodicals; Heart -- Imaging -- Periodicals; 616.1207543
• DOI: 10.1530/ERP-16-0041
• Languages: English
• ISSNs: 2055-0456

Abstract

Abstract : Transcatheter aortic valve implantation (TAVI) was initially proven as an alternative to valve replacement therapy in those beyond established risk thresholds for conventional surgery. With time the technique has been methodically refined and offered to a progressively lower risk cohort, and with this evolution has come that of the significant imaging requirements of valve implantation. This review discusses the role of transoesophageal echocardiography (TOE) in the current TAVI arena, aligning it with that of cardiac computed tomography, and outlining how TOE can be used most effectively both prior to and during TAVI in order to optimise outcomes.