Authors:	da Rocha e Silva, Jaqueline G. Ruf, Tobias F. Hell, Michaela M. Tamm, Alexander Geyer, Martin Münzel, Thomas Bardeleben, Ralph Stephan von
Title:	Transgastric imaging : the key to successful periprocedural TEE guiding for edge-to-edge repair of the tricuspid valve
Online publication date:	7-Sep-2022
Year of first publication:	2021
Language:	english
Abstract:	Intraprocedural transesophageal echocardiography (TEE) guidance plays an essential role in transcatheter repair therapy of the tricuspid valve (TV). So far, several different imaging concepts are in use. We propose an imaging protocol that fully addresses the morphological complexity of the TV and further offers efficacious workarounds for the frequently occurring restrictions of TV imaging in edge-to-edge repair of the TV. As a tertiary referral center with a large experience of more than 250 cases of transcatheter edge-to-edge repair (TEER) of the TV performed at the Heart Valve Center in Mainz/Germany, we have constantly adapted our peri-interventional echocardiographic approach to accomplish both. As a key measure for success, we intensely rely on the transgastric acoustic windows that not only deliver high-resolution information on the morphology of the TV and all relevant procedural steps but also help to avoid the frequent shadowing artifacts experienced in transesophageal imaging.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-7690
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY-NC-ND
Information on rights of use:	https://creativecommons.org/licenses/by-nc-nd/4.0/
Journal:	Echocardiography 38 11
Pages or article number:	1948 1958
Publisher:	Wiley-Blackwell
Publisher place:	Oxford u.a
Issue date:	2021
ISSN:	1540-8175
Publisher DOI:	10.1111/echo.15196
Appears in collections:	JGU-Publikationen