Stepwise approach for visualization and reconstruction of pulmonary valve with intracardiac echocardiography

Author(s):  
Francesco De Sensi ◽  
Luigi Addonisio ◽  
Gennaro Miracapillo ◽  
Marco Breschi ◽  
Alberto Cresti ◽  
...  
2014 ◽  
Vol 36 (1) ◽  
pp. 76-83 ◽  
Author(s):  
Sawsan M. Awad ◽  
Syed Asif Masood ◽  
Ismael Gonzalez ◽  
Qi-Ling Cao ◽  
Ra-id Abdulla ◽  
...  

2015 ◽  
Vol 36 (8) ◽  
pp. 1754-1760 ◽  
Author(s):  
Wendy Whiteside ◽  
Sara K. Pasquali ◽  
Sunkyung Yu ◽  
Martin L. Bocks ◽  
Jeffrey D. Zampi ◽  
...  

2021 ◽  
Vol 3 (4) ◽  
pp. 682-685
Author(s):  
Christopher J. DeZorzi ◽  
Justin P. Sheehy ◽  
Adnan Chhatriwalla ◽  
Anthony Magalski ◽  
John T. Saxon

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Salvador Alberto J Rodriguez Franco ◽  
Salvador Alberto A Rodriguez Franco ◽  
Ryan A Leahy ◽  
Jess T Randall ◽  
Jenny E Zablah ◽  
...  

Objective: Evaluate the correlation between intracardiac echocardiography (ICE) gradients and next-day and one-month transthoracic echocardiography (TTE) gradients, after percutaneous pulmonary valve implantation (PPVI) Background: Post-procedure Doppler-derived gradients have gained popularity as acceptable parameters to evaluate valve function after PPVI, but they have no proven correlation with the invasive gradient measured during the procedure, indeed a large disparity between these two measurements has been described. Interestingly, ICE gradients, which are also an invasive assessment, have been suggested to present a strong correlation with post-procedure echocardiographic evaluations, and their application could allow a more accurate and predictable evaluation of valve function, establishing a typical pattern of short-term hemodynamic progression in these patients. Methods: We performed a retrospective chart review of 84 patients who underwent PPVI between January 2018 and December 2019 and selected 51 patients in whom ICE was performed after valve implantation. We evaluated the correlation between ICE and RV-PA gradients with post-procedural Doppler-derived gradients. Among the parameters assessed, the one which demonstrated the strongest correlation was used to create a predictive model to estimate the expected gradients after PPVI. Results: All the assessed correlation models between Doppler-derived parameters during ICE evaluation and post-procedure TTE evaluations were statistically significant, and presented moderate to strong linear relationships. The strongest correlation was found between ICE Doppler mean gradient and post-procedural Doppler mean gradient. The derived predictive equation was distributed by the size of the device implanted and body mass index. We found this model was capable of predicting post-procedural evaluations (mean Doppler-derived gradients at 1 day and 1 month) within a range of ±5 mmHg from the observed value in more than 80% of cases. Conclusions: There is a strong correlation between ICE and post-procedure TTE. This allowed us to derive a predictive equation, distributed by body size and device size that defines expected echo Doppler-derived hemodynamic pathways after PPVI.


2020 ◽  
Author(s):  
Makoto Sano ◽  
Tsuyoshi Urushida ◽  
Yutaro Kaneko ◽  
Tomoaki Sakakibara ◽  
Taro Narumi ◽  
...  

2019 ◽  
Vol 12 (24) ◽  
pp. 2558-2559 ◽  
Author(s):  
Jian-Fang Ren ◽  
Shiquan Chen ◽  
David J. Callans ◽  
Chenyang Jiang ◽  
Francis E. Marchlinski

2020 ◽  
Author(s):  
Francesco De Sensi ◽  
Luigi Addonisio ◽  
Gennaro Miracapillo ◽  
Marco Breschi ◽  
Paolo Orselli ◽  
...  

2021 ◽  
pp. 1-7
Author(s):  
Gareth J. Morgan ◽  
Salvador A. Rodriguez ◽  
Ryan Leahy ◽  
Jess Randall ◽  
Jenny E. Zablah

Abstract Background: Intracardiac echocardiography Doppler-derived gradients have previously been shown to correlate with post-procedure echocardiographic evaluations when compared with invasive gradients measured during percutaneous pulmonary valve implantation, suggesting that intracardiac echocardiography could offer an accurate and predictable starting point to estimate valve function after percutaneous pulmonary valve implantation. Methods: We performed a retrospective chart review of 51 patients who underwent percutaneous pulmonary valve implantation between September 2018 and December 2019 in whom intracardiac echocardiography was performed immediately after valve implantation. We evaluated the correlation between intracardiac echocardiography gradients and post-procedural Doppler-derived gradients. Among the parameters assessed, those which demonstrated the strongest correlation were used to create a predictive model of expected echo-derived gradients after percutaneous pulmonary valve implantation. The equation was validated on the same sample data along with a subsequent cohort of 25 consecutive patients collected between January 2020 and July 2020. Results: All the assessed correlation models between intracardiac echocardiography evaluation and post-procedure transthoracic echocardiographic assessments were statistically significant, presenting moderate to strong correlations. The strongest relationship was found between intracardiac echocardiography mean gradients and post-procedural transthoracic echocardiographic mean gradients. Therefore, an equation was created based on the intracardiac echocardiography-derived mean gradient, to allow prediction of the post-procedural and follow-up transthoracic echocardiographic-derived mean gradients within a range of ±5 mmHg from the observed value in more than 80% of cases. Conclusions: There is a strong correlation between intracardiac echocardiography and post-procedure transthoracic echocardiographic. This allowed us to derive a predictive equation that defines the expected transthoracic echocardiographic Doppler-derived gradient following the procedure and at out-patient follow-up after percutaneous pulmonary valve implantation.


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