Multimodality Imaging in Transcatheter Mitral Interventions

Name: Work Video:
Duration: 3 min 30 s
Omar Khalique; Rebecca T. Hahn
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[248], 'exposureCardiac': [249], 'cycle–dependentPoor': [250], 'temporal': [251, 256], 'resolution': [252, 1463], 'most': [254, 296], 'systemsTEEHigh': [255], 'resolutionPulsed,': [257], 'continuous,': [258], 'color-flow': [260], 'DopplerReal-time/multibeat': [261], 'imagingHigh': [262], 'safety': [263], 'profile': [264], 'ultrasoundNo': [266], 'requiredPortableSemi-invasiveAcoustic': [268], 'shadowing': [269, 1404], 'other': [271, 1845], 'artifacts': [272, 1541, 1566, 1686, 1780], 'imagingHigher': [274], 'operator': [275], 'dependenceMDCT': [276], 'indicates': [277], 'tomography;': [281], 'TEE,': [283], 'echocardiography.See': [285], 'Articles': [286], 'Suh': [288, 1121, 1812, 2815], 'et': [289, 293, 680, 820, 903, 993, 1122, 1809, 1813], 'al': [290, 821], 'Mak': [292, 679, 902, 1808, 2651], 'alPerhaps,': [294], 'important': [297], 'imaging': [298, 331, 403, 481, 492, 538, 1276, 1458, 1563, 1799, 1819, 1824, 1936, 1973, 3034], 'lesson': [299], 'learned': [300, 2310], 'from': [301, 470, 1112, 1542, 1567, 1680, 1687, 1712, 1781, 2311, 2579], 'replacement': [306, 523, 591, 1945, 2099, 2103, 2846], '(TAVR)': [307], 'experience': [308, 434, 601], 'whether': [311, 846], 'one': [312, 1306, 1412, 1792], 'modality': [313], 'better': [315, 1152, 1297, 1309], 'worse': [317], 'than': [318, 790], 'another,': [319], 'fact': [322], 'that': [323, 484, 650, 962, 1295], 'because': [324, 596, 1534, 1564], 'obvious': [327], 'utility': [328, 1652], 'multiple': [330, 1550, 1823, 3084], 'modalities,': [332], 'imager': [334, 359, 414, 431], 'become': [336, 507, 1529], 'essential': [338, 469, 2382], 'part': [339, 405], 'Team': [343], 'intraprocedural': [350, 1455, 1971], 'any': [353], 'successful': [354], 'device': [356], 'implantation.5,6': [357], 'must': [360, 1425], 'a': [362, 625, 655, 674, 701, 706, 723, 862, 966, 1049, 1097, 1149, 1165, 1234, 1279, 1353, 1713, 1722, 1802, 2010, 2107, 2223, 2463, 2540, 2946], 'comprehensive': [363, 1970], 'understanding': [364, 564], 'anatomy': [367, 973], 'interest,': [369], 'as': [370, 372, 385, 387, 525, 527, 577, 624, 654, 795, 1006, 1008, 1363, 1365, 1374, 1671, 1773, 1801], 'intended': [374], 'device.': [376], 'Without': [377], 'this': [378, 441, 603, 642, 683, 729, 843, 847, 873, 887, 1118, 1238, 1470, 1879], 'knowledge,': [379], 'recommendations': [380], 'sizing': [382, 769, 890, 2008, 2637], 'positioning,': [384], 'anticipation': [388], 'complications,': [390], 'possible.': [393], 'At': [394], 'our': [395, 563, 1832, 1860, 1874], 'institution,': [396], 'review': [397], 'both': [399, 783, 1616, 1807], 'echocardiographic': [402, 811, 1972, 2013, 2408, 2543, 2749, 3000, 3346], 'initial': [408], 'patient': [409], 'assessment.': [410, 1384], 'In': [411, 728, 1140, 1544], 'addition,': [412], 'always': [416], 'present': [417], 'structural': [420, 1841], 'heart': [421, 1088, 2219, 3508], 'disease': [422], 'interventions,': [423], 'allowing': [424], 'interventionalist': [426], 'surgeon': [428], 'gain': [433], 'together.': [435], 'Mutual': [436], 'respect': [437], 'key': [439], 'learning': [442], 'process.Transcatheter': [443], 'mitral': [444, 464, 497, 503, 516, 554, 571, 582, 589, 630, 665, 711, 767, 829, 856, 893, 922, 947, 978, 1003, 1045, 1063, 1068, 1107, 1135, 1382, 1495, 1551, 1586, 1655, 1659, 1665, 1714, 2303, 2366, 2387, 2412, 2420, 2461, 2530, 2575, 2632, 2640, 2684, 2689, 2710, 2752, 2759, 2840, 2844, 3003, 3093, 3137, 3183, 3221, 3460, 3470, 3475], 'interventions': [445, 518, 1842], 'largely': [447, 594], 'been': [448, 468, 560, 593, 619, 1243, 1755], 'discussed': [449], 'context': [452], 'percutaneous': [454, 1247, 2300, 2873, 2911, 3181, 3224], 'edge-to-edge': [455, 1547, 3182], 'repair': [456, 521, 1548, 2301, 2362, 3185], 'with': [457, 476, 799, 1298, 1303, 1315, 1454, 1775, 2018, 2217, 2305, 2414, 2501, 2679, 2757, 2852, 3322, 3465], 'MitraClip': [459, 1627, 3225], '(Abbott': [460], 'Vascular,': [461], 'CA)': [462], 'regurgitation.': [465], 'TEE': [466, 1132, 1338, 1560], 'inception': [472], 'device,': [475], 'desirable': [477], 'outcomes': [478, 1872, 2907], 'attributed': [479], 'guidance.7,8': [482], 'Since': [483], 'time,': [485], '3D-TEE': [489, 543, 558, 714, 745, 765, 927, 1001, 1241, 1275, 1312, 1341], 'detailed': [491, 1021], 'assessment': [493, 1398, 1498, 1506, 1591, 1611, 2298, 2385, 2750, 3135], 'only': [496, 1255, 1790, 1839], 'regurgitant': [498, 1515, 1587, 1613, 1656, 1771], 'severity': [499, 1137, 1197, 3091, 3272], 'also': [501, 644, 751, 1267, 1607], 'complex': [502, 573, 863], 'details': [505], 'indisputable.9As': [508], 'we': [509, 1784], 'enter': [510], 'next': [512], 'phase': [513], 'new': [520, 2499], 'devices': [524, 1491, 1524], 'standardization': [528], 'paravalvular': [531, 1284, 1324, 2841, 2874, 2915, 2943, 3008, 3270], 'leak': [532, 2875, 3271], '(PVL)': [533], 'closure,': [534], 'evolving.': [540], 'currently': [545], 'being': [546], 'used': [547, 1244, 1345, 1670, 1768], 'screen': [549], 'anatomically': [551], 'replacement.': [556, 857, 1667], 'Real-time': [557, 1240, 1274], 'dynamic': [567, 1099], 'nature': [568, 826], 'normal': [575], 'patients,': [576, 733], 'primary': [579], 'secondary': [581], 'disease.10–14': [584], 'Screening': [585], 'methods': [586, 1205, 1528], 'undefined': [595], 'lack': [599], 'field': [604, 1866], 'confidentiality': [607], 'early': [609, 770, 798, 844, 988, 1437, 3041], 'feasibility': [610], 'studies.': [611], 'idea': [613], 'D-shaped': [616, 707, 815, 2628], 'annulus': [617, 635, 659, 712, 768, 802, 830, 912, 2526, 2633, 2685, 2711, 3461], 'popularized': [620], 'recent': [622], 'literature': [623], 'method': [626, 721, 851], 'measure': [628, 1654], 'annulus,': [631, 871, 1108], 'simplifies': [633], 'shape': [636, 1111], 'while': [637], 'making': [638], 'it': [639, 839], 'more': [640, 940, 1280, 1442], 'planar;': [641], 'partially': [645], 'based': [646, 925], 'observation': [649], 'anterior': [652, 664, 837, 1062, 2537], 'saddle': [653], 'portion': [656, 864, 1100], 'measurement': [660, 853, 1047, 3082], 'projects': [661], 'past': [662], 'leaflet': [666, 970, 1009, 1015, 1022, 1064], 'into': [667, 1026], 'left': [669, 1087, 3349], 'ventricular': [670, 1032, 1051, 3350], 'outflow': [671, 1033, 1052, 1083], 'tract.15': [672], 'As': [673, 1806], 'continuation': [675], 'these': [677, 787, 1527, 1856], 'investigations,': [678], 'al,16': [681], 'issue': [684], 'Circulation:': [686], 'Imaging,': [688], 'use': [689, 762, 1228, 1393, 1859, 2015], 'Valve': [692], 'Quantification': [693], 'program': [694], '(Philips': [695], 'Healthcare,': [696], 'Inc.,': [697], 'Andover,': [698], 'MA)': [699], 'modified': [702], 'fashion': [703], 'perform': [705], 'segmentation': [708], 'using': [713, 779, 2009, 2847, 2945, 3095, 3352], 'similar': [715, 780, 1166, 1449, 1651], "group's": [719], 'original': [720], 'semiautomated': [724], 'software': [726], 'segmentation.': [727], 'analysis': [730, 1013, 1023, 1133, 1327], '41': [732], 'area': [735, 874, 1517, 1644], 'circumference,': [737], 'were': [738, 905, 1483], 'different': [740], 'when': [741, 1301], 'comparing': [742, 792], 'measurements.': [746, 812], 'Correlation': [747], 'was': [750, 796, 1206, 1215], 'strong.': [752], 'current': [754, 2969], 'study': [755, 777, 990, 1647], 'importantly': [756], 'highlights': [757], 'ability': [759], 'interchangeably': [761], 'experience.': [773], 'More': [774], 'specifically,': [775], 'emphasizes': [778], 'methodology': [781], 'across': [782], 'achieve': [786], 'results': [788, 1277], 'rather': [789], 'incorrectly': [791], 'incongruous': [793], 'methods,': [794, 1620], 'done': [797], 'many': [800], 'publications': [803], 'compared': [805, 1302, 2678], '2-dimensional': [810, 1130], 'Although': [813, 986, 1668], 'model': [816, 2629], 'developed': [817], 'Blanke': [819, 2591, 2653], 'appears': [822], 'mimic': [824], 'at': [831, 842], 'hinge': [833, 951], 'point': [834], 'leaflet,': [838], 'unclear': [841], 'stage': [845], 'best': [850, 1744, 1830, 1871], 'before': [854, 1371, 1937, 2638, 2687], 'aortic–mitral': [859, 1078, 1094], 'continuity': [860, 1095], 'saddle-shaped': [867, 1103], 'structure': [868, 1104], 'bows': [875], 'fro': [878], 'throughout': [879], 'cycle': [882], '(Figure).': [883], 'impact': [885, 968], 'phenomenon': [888], 'valves': [894], 'unclear.': [896], 'All': [897], 'al16': [904, 1810], 'diastole,': [908], 'where': [909, 949, 1402], 'typically': [910], 'plane': [913], 'easier': [915], 'appreciate.': [917], 'However,': [918, 1521], 'existing': [919], 'studies': [920, 1367], 'dynamism': [924], 'shown': [929, 1631, 1756], 'largest': [931], 'dimensions': [932], 'late': [934], 'systole.12,17,18': [935], 'Systolic': [936], 'challenging': [941], 'setting': [944], 'closed': [946], 'leaflets,': [948], 'points': [952], 'may': [953, 964, 1368, 1408, 1440, 1554, 1720, 1741], 'easily': [956, 1071], 'discerned.': [957], 'It': [958, 1849], 'stands': [959], 'reason': [961], 'significant': [967, 1208, 1235, 1354], 'dynamics': [971, 2458, 2494], 'seating': [975], 'devices,': [979, 1577], 'yet': [982], 'defined.': [985], 'comparative': [989], 'Shanks': [992, 2768, 3105], 'al19': [994], 'showed': [995], 'excellent': [996, 1622, 1738, 1760], 'agreement': [997, 3321], 'morphology,': [1010], 'until': [1011], 'morphology': [1016, 2800], 'consistently': [1019, 1736], 'duplicated,': [1020], 'falls': [1024], 'clearly': [1025], 'realm': [1028], 'echocardiography.': [1030], 'Left': [1031], 'tract': [1034, 1053], 'obstruction,': [1035], 'contrary,': [1038], 'additional': [1041, 1333, 1487], 'concern': [1042], 'replacement;': [1046], 'neo-left': [1050], 'formed': [1056], 'displacement': [1059], 'MDCT.Download': [1074], 'figureDownload': [1075], 'PowerPointFigure.': [1076], 'continuity.': [1079, 1092], 'inflow': [1081], 'regions': [1084], 'direct': [1091, 1511], 'complex,': [1098], 'changes': [1110], 'diastole': [1113], '(A)': [1114], 'systole': [1116], '(B).In': [1117], 'issue,': [1120], 'al20': [1123, 1814], 'compare': [1124], 'transthoracic': [1127], '(2D)': [1131], 'PVL': [1136, 1172, 1196, 1248, 1383, 1636, 1660], 'location.': [1139], '78': [1141], 'who': [1143], 'had': [1144, 1148, 1164], 'undergone': [1145], 'reoperation,': [1146], 'surprisingly': [1151], '(although': [1153], 'statistically': [1155, 1207], 'significant)': [1156], 'diagnostic': [1157, 1167, 1189], 'accuracy': [1158, 1168, 1366, 3344], 'detection': [1160, 1170], 'PVL.': [1162, 1410], '2D-TEE.': [1174], 'authors': [1176], 'should': [1177], 'congratulated': [1179], 'efforts': [1182], 'push': [1184], 'limits': [1186], 'abilities': [1190], 'MDCT.': [1192], 'correlation': [1194, 1310], 'planimetered': [1198], 'assessed': [1202, 1597], '2D-TEE': [1204, 1230], 'weak.': [1210], 'quality': [1212], 'nondiagnostic': [1216], '12/204': [1218], 'due': [1220], 'beam-hardening': [1222], 'artifacts,': [1223], 'mechanical': [1226], 'valves.The': [1227], 'imaging,': [1231, 3395], 'however,': [1232, 1360, 1448], 'limitation': [1236], 'study.': [1239], 'extensively': [1245], 'during': [1246, 1974, 2715], 'closure': [1249, 1272, 1347, 1661, 2912, 2941], 'procedures21–23': [1250], 'depict': [1253], 'relevant': [1257], 'landmarks': [1259], 'adjacent': [1260], 'sites': [1263], 'PVLs,': [1265, 1401], 'wires,': [1268], 'delivery': [1269], 'catheters,': [1270], 'devices.24': [1273], 'accurate': [1281, 1531], 'localization': [1282], 'defects': [1285, 2944], 'estimation': [1288], 'size': [1291, 2686], 'defect': [1294], 'correlates': [1296], 'surgical': [1299, 1717, 2101, 2853], 'findings': [1300], '2D-TEE.25': [1304], 'Thus,': [1305], 'would': [1307, 1648], 'expect': [1308], 'multiplanar': [1313], 'reconstruction': [1314, 1465, 2409], 'without': [1317], 'color': [1318, 1561, 1600], 'Doppler,': [1319], 'planimetry': [1322, 1512], 'defects.': [1325], 'begs': [1328], 'question': [1330, 1695], 'what': [1332], 'benefits': [1334], 'provides': [1336], 'over': [1337], 'if': [1339, 1476, 1571], 'intraoperative': [1340, 2384], 'guidance': [1342, 2296], 'will': [1343, 1835], 'leaks.': [1349], 'Patient': [1350], 'preference': [1351], 'consideration': [1355], 'assessment;': [1359], 'further': [1361, 1646], 'cost-benefit': [1362], 'needed': [1370], 'recommending': [1372], 'equivalent': [1376], 'technology': [1377, 1434, 1820], '3D': [1379, 1519, 1599, 2719, 3096, 3189], 'A': [1385, 1642, 2717, 3380], 'greater': [1386], 'argument': [1387], 'made': [1390, 1469], 'acoustically': [1403], 'distal': [1406], 'structures': [1407], 'mask': [1409], 'Again,': [1411], 'cannot': [1413], 'ignore': [1414], 'potential': [1416], 'harm': [1417], 'radiation': [1420], 'iodinated': [1422], 'balanced': [1427], 'against': [1428], 'benefits.': [1430], 'Coregistration': [1431], 'another': [1433], 'its': [1436], 'stages,': [1438], 'add': [1441], 'value': [1443, 1633], 'planning;': [1447], 'coregistration': [1450], '3D-TEE.26': [1456], 'Nonetheless,': [1457, 1734], 'advancements': [1459], 'spatial': [1462], 'techniques': [1466], 'discussion': [1471], 'possible': [1472], 'truly': [1474], 'exciting.As': [1475], 'challenges': [1480], 'outlined': [1481], 'above': [1482], 'enough,': [1485], 'challenge': [1488], 'arises': [1489], 'after': [1490, 1522, 1637, 1658, 1663, 2843, 3223, 3273], 'placed.': [1493], 'Native': [1494], 'regurgitation': [1497, 1552, 1594, 2304, 3094, 3222], 'established.': [1503], 'Methods': [1504], 'include': [1507], 'quantitative': [1508, 2465], 'Doppler': [1509, 1536, 1562, 3229], 'effective': [1514], 'orifice': [1516], 'reconstruction.27,28': [1520], 'placed,': [1526], 'less': [1530], 'invalid': [1533], 'flow': [1537], 'acceleration': [1538], 'acoustic': [1540, 1779], 'devices.': [1543], 'post-transcatheter': [1546], 'setting,': [1549], 'jets': [1553, 1572], 'difficult': [1556], 'assess': [1558, 1831], 'device(s).': [1569], 'Additionally,': [1570, 1690], 'entrained': [1574], 'excessive': [1578], 'jet': [1579], 'spray': [1580], 'cause': [1582], 'overestimation': [1584], 'severity.': [1588], 'Following': [1589], 'MitraClip,': [1590], 'residual': [1593], 'Doppler.29': [1601], 'Cardiac': [1602], 'magnetic': [1603, 1685, 3145, 3233, 3266, 3319], 'resonance': [1604, 3146, 3234, 3267, 3320], '(CMR)': [1605], 'promising': [1608, 1643], 'volume': [1614, 3387], 'volumetric': [1617, 1676, 1708], 'velocity-encoding': [1619], 'showing': [1621], 'reproducibility': [1623, 1739, 1761], 'post': [1626], 'setting.30': [1628], 'CMR': [1629, 1678, 1735], 'prognostic': [1632], 'diagnosing': [1635], 'replacement.31': [1641], 'volumes': [1657, 1772], 'often': [1669, 1693], 'gold': [1673], 'standard': [1674], 'measurement,': [1677], 'suffers': [1679], 'motion,': [1681], 'arrhythmia': [1682], 'gating,': [1683], 'metal-containing': [1688], 'prostheses.': [1689, 1782], 'consistency': [1697], 'application': [1699], 'basal': [1703, 1728, 3314], 'slice': [1704, 1729], 'inclusion': [1706, 3312], 'measurements.32': [1709], 'Magnetic': [1710], 'distortion': [1711], 'prosthesis': [1715], '(whether': [1716], 'transcatheter)': [1719], 'particularly': [1723], 'problematic': [1724], 'artifact': [1725], 'depending': [1730], 'patient.': [1733], 'shows': [1737], 'option': [1745], 'overall': [1747], 'quantification.': [1748], 'When': [1749], 'carefully': [1750], 'performed,': [1751], '3D-transthoracic': [1752], 'similarly': [1759], 'CMR33': [1763], 'theoretically': [1766], 'calculate': [1770], 'well,': [1774], 'considerations': [1777], 'Luckily,': [1783], 'do': [1785], 'depend': [1789], 'modality.We': [1793], 'fortunate': [1795], 'multimodality': [1798], 'available': [1800], 'true': [1803], 'modern-day': [1804], 'toolbox.': [1805], 'shown,': [1816], 'advances': [1817], 'result': [1821], 'options,': [1825], 'allow': [1827], 'us': [1828, 1853], 'patients.': [1833], 'This': [1834], 'crucial': [1837], 'areas': [1846, 3087], 'cardiology.': [1848], 'up': [1851], 'leverage': [1855], 'technologies': [1857], 'collective': [1861], 'expertise': [1862], 'drive': [1864], 'forward': [1867], 'obtain': [1869], 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