Volumetric Intracardiac Echocardiogram-Guided MitraClip in Patients Intolerant to Transesophageal Echocardiogram: Results From a Multicenter Registry

Abstract:

The success of mitral transcatheter edge-to-edge repair (mTEER) requires high fidelity intraprocedural transesophageal echocardiography (TEE) for optimal transeptal puncture guidance, device steering, and clip implantation. Patients with absolute or relative contraindications to TEE (eg, esophageal/gastric disease, cervical/thoracic spinal disease, and coagulopathies) have limited options. Previous case reports or single-center series have demonstrated the feasibility of volumetric intracardiac echocardiogram (vICE) to provide adjunctive imaging or as a means to guide the entire procedure. 1, 2 Previously, we highlighted imaging protocol on a limited data set of patients undergoing mTEER with vICE. 2 In this study, we expand this series and provide safety and feasibility outcomes from a multicenter retrospective series of patients with contraindication or intolerance to TEE undergoing mTEER with the use of only …

Año de publicación:

2023

Keywords:

Fuente:

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