The Expanding Role of Echocardiography in Interventional Cardiology

2010 ◽  
Vol 6 (2) ◽  
pp. 71 ◽  
Author(s):  
Lindsay A Smith ◽  
Amit Bhan ◽  
Mark J Monaghan ◽  
◽  
◽  
...  
Keyword(s):  
Interventional Procedures ◽  
Imaging Modality ◽  
Interventional Cardiology ◽  
Design And Technology ◽  
Team Approach ◽  
Medical Problems ◽  
Multidisciplinary Team Approach ◽  
Case Selection ◽  
Optimal Imaging

Echocardiography provides excellent realtime imaging of the heart, making it the imaging modality of choice immediately before, during and after cardiac interventional procedures. It helps to guide case selection and execution of the intervention, evaluates the effects of the intervention and enables early detection of complications. Advances in the design and technology of medical devices and delivery systems, coupled with demand for alternative non-surgical therapies for common medical problems, have led to an increase in the volume, variety and complexity of non-coronary cardiac interventional procedures performed. Many of these procedures require a multidisciplinary team approach and demand optimal imaging to ensure successful outcomes. The aim of this article is to review the expanding role of echocardiography in non-coronary interventional cardiology in adults.

The Role of Interdisciplinary Team Approach in the Management of the Diabetic Foot

2010 ◽  
Vol 100 (4) ◽  
pp. 309-311 ◽  
Author(s):  
Bauer E. Sumpio ◽  
David G. Armstrong ◽  
Lawrence A. Lavery ◽  
George Andros
Keyword(s):  
Medical Association ◽  
Multidisciplinary Team ◽  
Diabetic Foot ◽  
Interdisciplinary Team ◽  
Limb Ischemia ◽  
Team Approach ◽  
Multidisciplinary Team Approach ◽  
Beneficial Impact ◽  
Diabetic Population

The Society for Vascular Surgery (SVS) and the American Podiatric Medical Association (APMA) recognize the beneficial impact of a multidisciplinary team approach on the care of patients with critical limb ischemia, especially in the diabetic population. As a first step in identifying clinical issues and questions important to both memberships, and to work together to find solutions that will benefit the shared patient, the two organizations appointed a representative group to write a joint statement on the importance of multidisciplinary team approach to the care of the diabetic foot. (J Am Podiatr Med Assoc 100(4): 309–311, 2010)

scholarly journals The modern role of transoesophageal echocardiography in the assessment of valvular pathologies

2017 ◽  
Vol 4 (1) ◽  
pp. R1-R13 ◽  
Author(s):  
Malgorzata Wamil ◽  
Sacha Bull ◽  
James Newton
Keyword(s):  
Quantitative Methods ◽  
Imaging Modality ◽  
Interventional Cardiology ◽  
Transoesophageal Echocardiography ◽  
Cardiovascular Imaging ◽  
Monitoring Tool ◽  
Prosthetic Valves ◽  
Valvular Stenosis ◽  
Doppler Techniques

Despite significant advancements in the field of cardiovascular imaging, transoesophageal echocardiography remains the key imaging modality in the management of valvular pathologies. This paper provides echocardiographers with an overview of the modern role of TOE in the diagnosis and management of valvular disease. We describe how the introduction of 3D techniques has changed the detection and grading of valvular pathologies and concentrate on its role as a monitoring tool in interventional cardiology. In addition, we focus on the echocardiographic and Doppler techniques used in the assessment of prosthetic valves and provide guidance for the evaluation of prosthetic valves. Finally, we summarise quantitative methods used for the assessment of valvular stenosis and regurgitation and highlight the key areas where echocardiography remains superior over other novel imaging modalities.

Re-emphasising the importance of histopathological diagnosis in suspected bacterial endocarditis

Perfusion ◽  
2021 ◽  
pp. 026765912110388
Author(s):  
Hafiz Naderi ◽  
Aula Abbara ◽  
Alessandro Viviano ◽  
Perviz Asaria ◽  
Punam A Pabari ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Patient Outcomes ◽  
Bacterial Endocarditis ◽  
Histopathological Diagnosis ◽  
Team Approach ◽  
Clinical Heterogeneity ◽  
Diagnostic Uncertainty ◽  
Multidisciplinary Team Approach ◽  
Atypical Presentations

Infective endocarditis (IE) carries a high risk of morbidity and mortality. Timely diagnosis, effective treatment and prompt recognition of complications are essential to favourable patient outcomes. A collaborative, multidisciplinary team approach to the management of IE has been shown to improve prognosis. However, the clinical heterogeneity of IE and atypical presentations pose challenges to the endocarditis team. We present a case highlighting the role of valve histopathology in suspected IE, where there may be diagnostic uncertainty.

Imaging during cardiac interventions

2015 ◽  
pp. 116-126
Author(s):  
Luis M. Rincón ◽  
José L. Zamorano
Keyword(s):  
Real Time ◽  
Interventional Procedures ◽  
Imaging Modality ◽  
Imaging Techniques ◽  
Major Change ◽  
Interventional Cardiology ◽  
Transoesophageal Echocardiography ◽  
Anatomy And Physiology ◽  
Cardiac Procedures ◽  
Selection Of Patients

Development and expansion of percutaneous interventional procedures in the catheterization laboratories during the last years have raised the need of imaging techniques capable to identify cardiac structures, guide the procedure, and exclude possible complications. Among different imaging techniques, echocardiography offers the advantage of its mobility and capability to assess different cardiac structures in real time. It has become the preferred method for a wide variety of cardiac procedures before, during, and after these interventions. Electrophysiology has also experienced a major change, as anatomy has proven to play a key role in arrhythmogenesis. This has forced a shift from an electrophysiologically guided procedure to an anatomically guided procedure, where imaging guiding has become essential to ensure an accurate knowledge of intra-cardiac anatomy and complement cardiac electrograms. Echocardiography plays an important function in three aspects for interventional cardiology: prior to the procedure, it provides information for the selection of patients; during the procedure, it can monitor and guide the intervention; and afterwards, it assesses the results. In the last years, 3D-transoesophageal echocardiography (3D-TEE) and intra-cardiac echocardiography (ICE) have proved their utility and safety, providing information regarding anatomy and physiology in real time. There is no question that the use of imaging techniques can enhance the results and safety of these procedures. The particular features of each intervention and the variety of techniques currently available force cardiologists from the fields of echocardiography, interventional cardiology, and electrophysiology to know the strengths and weaknesses of each imaging modality in order to reach their best performance.

Role of the Nurse in the Multidisciplinary Team Approach to Care of Liver Transplant Patients

1989 ◽  
Vol 64 (6) ◽  
pp. 690-698 ◽  
Author(s):  
JOYCE A. OVERMAN ◽  
DEBRA L. COX ◽  
LINDA L. BUCHL ◽  
JULIE K. CAMPION ◽  
PAULA C. RAIHLE ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Multidisciplinary Team ◽  
Team Approach ◽  
Multidisciplinary Team Approach ◽  
Transplant Patients

scholarly journals Role of Echocardiographic Imaging in Percutaneous Balloon Mitral Valvotomy

2015 ◽  
Vol 7 (2) ◽  
pp. 128-136
Author(s):  
Satyavan Sharma ◽  
Satishkumar Suresh Kolekar
Keyword(s):  
Clinical Characteristics ◽  
Imaging Modality ◽  
Three Dimensional ◽  
Case Selection ◽  
Percutaneous Balloon ◽  
Mitral Valvotomy ◽  
Echocardiographic Assessment ◽  
Dimensional Echocardiography ◽  
Two Dimensional Echocardiography

Mitral stenosis (MS) is a still frequently encountered in India and Bangladesh. Untreated MS contributes to the morbidity and mortality. Balloon mitral Valvotomy is effective and commonly used for relief of obstruction in symptomatic patients. The case selection is guided by clinical characteristics and imaging. Echocardiography is the most important imaging modality to assess severity of obstruction its hemodynamic consequences as well as valve morphology. Transthoracic two dimensional echocardiography is usually sufficient to provide the desired information. Trans esophageal echocardiography is used when the valve cannot be adequately assessed by trans thoracic echocardiography and to exclude intracardiac thrombi prior to intervention. Three dimensional transthoracic and trans esophageal echocardiographic assessment provides more elaborate physiological and morphological information. DOI: http://dx.doi.org/10.3329/cardio.v7i2.22261 Cardiovasc. j. 2015; 7(2): 128-136

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