Abstract
Transcatheter aortic valve implantation has been introduced into the clinical arena as an alternative to traditional surgical aortic valve replacement for these high-risk patients. The anatomic suitability is decided by a number of imaging techniques including 2-dimensional transthoracic (2D TTE) and transesophageal (2D TEE) echocardiography, coronary and peripheral angiography, and computed tomography scanning from the aortic root to the common femoral artery. New insights into the anatomy of the aortic valve complex in the beating heart became possible with the rapidly increasing availability of 3-dimensional imaging techniques that have extended our concepts of the “in vivo” 3D morphology of the valve. A comprehensive understanding of the 3D anatomy of aortic root is of paramount importance for both interventionalists and experts in cardiac imaging. The purposes of this chapter are: to describe 3D TEE anatomy of normal aortic root ; to describe RT 3D TEE imaging of calcific aortic stenosis and, finally, to outline the debated role of 2D TEE and 3D TEE during the procedure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Berdajs D, Lajos P, Turina M. The anatomy of the aortic root. Cardiovasc Surg. 2002;10:320–7.
Cribier A, Eltchaninoff H, Bash A, Borenstein N, Tron C, Bauer F, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation. 2002;106:3006–8.
Cribier A, Eltchaninoff H, Tron C, Bauer F, Agatiello C, Nercolini D, et al. Treatment of calcific aortic stenosis with the percutaneous heart valve: mid-term follow-up from the initial feasibility studies: the French experience. J Am Coll Cardiol. 2006;47:1214–23.
Filgueiras-Rama D, Lopez T, Moreno-Gomez R, Calvo-Orbe L, Dobarro D, Moreno-Yanguela M, et al. 3D Transesophageal echocardiographic guidance and monitoring of percutaneous aortic valve replacement. Echocardiography. 2010;27:84–6.
Grube E, Schuler G, Buellesfeld L, et al. Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the second- and current third-generation self-expanding CoreValve prosthesis: device success and 30-day clinical outcome. J Am Coll Cardiol. 2007;50:69–76.
Kodali SK, O’Neill WW, Moses JW, Williams M, Smith CR, Tuzcu M, et al. Early and late (one year) outcomes following transcatheter aortic valve implantation in patients with severe aortic stenosis (from the United States REVIVAL trial). Am J Cardiol. 2011;107:1058–64.
Lefèvre T, Kappetein AP, Wolner E, Nataf P, Thomas M, Schachinger V, et al., for the PARTNER EU Investigator Group. One year follow-up of the multi-centre European PARTNER transcatheter heart valve study. Eur Heart J. 2011;32:148–57.
Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al., for the PARTNER Trial Investigators. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.
Masson JB, Kovac J, Schuler G, Ye J, Cheung A, Kapadia S, et al. Transcatheter aortic valve implantation: review of the nature, management, and avoidance of procedural complications. JACC Cardiovasc Interv. 2009;2:811–20.
Ng AC, Delgado V, van der Kley F, Shanks M, van de Veire NR, Bertini M, et al. Comparison of aortic root dimensions and geometries before and after transcatheter aortic valve implantation by 2- and 3-dimensional transesophageal echocardiography and multislice computed tomography. Circ Cardiovasc Imaging. 2010;3:94–102.
Osten MD, Feindel C, Greutmann M, Chamberlain K, Meineri M, Rubin B, et al. Transcatheter aortic valve implantation for high risk patients with severe aortic stenosis using the Edwards Sapien balloon-expandable bioprosthesis: a single centre study with immediate and medium-term outcomes. Catheter Cardiovasc Interv. 2010;75:475–85.
Sherif MA, Abdel-Wahab M, Stocker B, Geist V, Richardt D, Tölg R, Richardt G. Anatomic and procedural predictors of paravalvular aortic regurgitation after implantation of the Medtronic CoreValve bioprosthesis. J Am Coll Cardiol. 2010;56:1623–9.
Sugeng L, Shernan SK, Salgo IS, Weinert L, Shook D, Raman J, et al. Live 3-dimensional transesophageal echocardiography initial experience using the fully-sampled matrix array probe. J Am Coll Cardiol. 2008;52:446–9.
Sutton 3rd JP, Ho SY, Anderson RH. The forgotten interleaflet triangles: a review of the surgical anatomy of the aortic valve. Ann Thorac Surg. 1995;59:419–27.
Webb JG, Wood DA, Ye J, Gurvitch R, Masson JB, Rodes-Cabau J, et al. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves. Circulation. 2010;121:1848–57.
Wenaweser P, Puellesfeld L, Gerckens U, Grube E. Percutaneous aortic valve replacement for severe aortic regurgitation in degenerated bioprosthesis: the first valve in valve procedure using the Corevalve Revalving system. Catheter Cardiovasc Interv. 2007;70:760–4.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Faletra, F.F., Perk, G., Pandian, N.G., Nesser, HJ., Kronzon, I. (2014). Transcatheter Aortic Valve Implantation. In: Real-Time 3D Interventional Echocardiography. Springer, London. https://doi.org/10.1007/978-1-4471-4745-9_5
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4745-9_5
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4744-2
Online ISBN: 978-1-4471-4745-9
eBook Packages: MedicineMedicine (R0)