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Bildgebung bei interventionellen Mitralklappeneingriffen

Imaging in mitral valve interventions

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Zusammenfassung

Perkutane Herzklappeneingriffe haben in den vergangenen 10 Jahren die Behandlungsmöglichkeiten von Patienten mit erkrankten Herzklappen enorm erweitert. Neben einer Miniaturisierung im Bereich der Medizintechnik basiert der Erfolg perkutaner Verfahren zu einem großen Anteil auf einer Weiterentwicklung der kardialen Bildgebung. Für spezielle interventionelle Mitralklappeneingriffe hat insbesondere die periprozedurale Echokardiographie erst die Voraussetzung geschaffen. Dieser Übersichtartikel beschreibt ihren Einsatz bei den aktuell klinisch etablierten Verfahren der MitraClip®-Implantation, des Verschlusses periprothetischer Leckagen und der Mitralklappenvalvuloplastie.

Abstract

Percutaneous cardiac valve interventions have significantly extended the therapeutic options for patients with diseased cardiac valves. Technical miniaturization and major advancements in cardiac imaging techniques are the cornerstones of this successful development. Regarding mitral valve interventions periprocedural echocardiography in particular is of uttermost importance. This review describes the state of the art echocardiographic imaging techniques focusing on the clinically established mitral valve interventions: MitraClip® implantation, percutaneous closure of periprosthetic leaks and mitral balloon valvuloplasty.

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Literatur

  1. Zamorano JL, Badano LP, Bruce C et al; Document Reviewers: European Association of Echocardiography (EAE): American Society of Echocardiography (ASE): The ASE Guidelines and Standards Committee and the ASE Board of Directors. (2011) EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur J Echocardiogr 12:557–584

    Article  PubMed  Google Scholar 

  2. Hilberath JN, Oakes DA, Shernan SK et al (2010) Safety of transesophageal echocardiography. J Am Soc Echocardiogr 23:1115–1127

    Article  PubMed  Google Scholar 

  3. Kallmeyer IJ, Collard CD, Fox JA et al (2001) The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg 92:1126–1130

    Article  PubMed  CAS  Google Scholar 

  4. Boekstegers P, Hausleiter J, Baldus S et al (2013) Interventionelle Behandlung der Mitralklappeninsuffizienz mit dem MitraClip®-Verfahren. Kardiologe 7:91–104

    Article  Google Scholar 

  5. Lang RM, Badano LP, Tsang W et al (2012) EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr 25:3–46

    Article  PubMed  Google Scholar 

  6. Feldman T, Wasserman HS, Herrmann HC et al (2005) Percutaneous mitral valve repair using the edge-to-edge technique: six-month results of the EVEREST Phase I Clinical Trial. J Am Coll Cardiol 46:2134–2140

    Article  PubMed  Google Scholar 

  7. Feldman T, Foster E, Glower DD et al; EVEREST II Investigators (2011) Percutaneous repair or surgery for mitral regurgitation. N Engl J Med 364:1395–1406

    Article  PubMed  CAS  Google Scholar 

  8. Lancellotti P, Moura L, Pierard LA et al; European Association of Echocardiography (2010) European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr 11:307–332

    Article  PubMed  Google Scholar 

  9. Altiok E, Hamada S, Brehmer K et al (2012) Analysis of procedural effects of percutaneous edge-to-edge mitral valve repair by 2D and 3D echocardiography. Circ Cardiovasc Imaging 5:748–755

    Article  PubMed  Google Scholar 

  10. Kahlert P, Plicht B, Schenk IM et al (2008) Direct assessment of size and shape of noncircular vena contracta area in functional versus organic mitral regurgitation using real-time three-dimensional echocardiography. J Am Soc Echocardiogr 21:912–921

    Article  PubMed  Google Scholar 

  11. Schmidt FP, von Bardeleben RS, Nikolai P et al (2013) Immediate effect of the MitraClip® procedure on mitral ring geometry in primary and secondary mitral regurgitation. Eur Heart J Cardiovasc Imaging [Epub ahead of print]

  12. Ruiz CE, Jelnin V, Kronzon I et al (2011) Clinical outcomes in patients undergoing percutaneous closure of periprosthetic paravalvular leaks. J Am Coll Cardiol 58:2210–2217

    Article  PubMed  Google Scholar 

  13. Inoue K, Owaki T, Nakamura T et al (1984) Clinical application of transvenous mitral commissurotomy by a new balloon catheter. J Thorac Cardiovasc Surg 87:394–402

    PubMed  CAS  Google Scholar 

  14. Ben Farhat M, Ayari M, Maatouk F et al (1998) Percutaneous balloon versus surgical closed and open mitral commissurotomy: seven-year follow-up results of a randomized trial. Circulation 97:245–250

    Article  Google Scholar 

  15. Wilkins GT, Weyman AE, Abascal VM et al (1988) Percutaneous balloon dilatation of the mitral valve: an analysis of echocardiographic variables related to outcome and the mechanism of dilatation. Br Heart J 60:299–308

    Article  PubMed  CAS  Google Scholar 

  16. Palacios IF, Sanchez PL, Harrell LC et al (2002) Which patients benefit from percutaneous mitral balloon valvuloplasty? Prevalvuloplasty and postvalvuloplasty variables that predict long-term outcome. Circulation 105:1465–1471

    Article  PubMed  Google Scholar 

  17. Soliman OI, Anwar AM, Metawei AK et al (2011) New scores for the assessment of mitral stenosis using real-time three-dimensional echocardiography. Curr Cardiovasc Imaging Rep 4:370–377

    Article  PubMed  Google Scholar 

  18. Messika-Zeitoun D, Blanc J, Iung B et al (2009) Impact of degree of commissural opening after percutaneous mitral commissurotomy on long-term outcome. JACC Cardiovasc Imaging 2:1–7

    Article  PubMed  Google Scholar 

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  1. 2. Medizinische Klinik – Kardiologie, Asklepios Klinik St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Deutschland

    F. Kreidel, H. Alessandrini, C. Frerker, T. Thielsen, U. Schäfer & K.H. Kuck

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  1. F. Kreidel
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  2. H. Alessandrini
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  3. C. Frerker
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  4. T. Thielsen
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  5. U. Schäfer
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  6. K.H. Kuck
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Correspondence to F. Kreidel.

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Kreidel, F., Alessandrini, H., Frerker, C. et al. Bildgebung bei interventionellen Mitralklappeneingriffen. Herz 38, 474–483 (2013). https://doi.org/10.1007/s00059-013-3863-6

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  • DOI: https://doi.org/10.1007/s00059-013-3863-6

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