Interventions for valvular disease and heart failure

Computed tomography-derived transoesophageal echocardiographic views for preprocedural planning of direct transcatheter mitral valve annuloplasty

EuroIntervention 2021;17:e156-e157. DOI: 10.4244/EIJ-D-20-00649

Federico Fortuni
Federico Fortuni1,2, MD; Frank van der Kley1, MD; Nina Ajmone Marsan1, MD, PhD; Victoria Delgado1, MD, PhD
1. Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands; 2. Department of Molecular Medicine, Unit of Cardiology, University of Pavia, Pavia, Italy

Figure 1. CT-derived transoesophageal echocardiographic views for direct transcatheter mitral valve annuloplasty. A) The virtual TEE probe (black arrow) placed in the oesophagus and gastric fundus on the sagittal MDCT view and predicted fluoroscopy view. On the right side are shown the settings (green box) that can be adjusted to derive TEE views from MDCT data. The ideal MDCT-derived TEE views can be obtained and reproduced during the procedure to guide the catheter (white arrow) and place the anchors in the predicted position (B-D). E) The reduction of mitral regurgitation grade from severe (upper image) to moderate (lower image) after ...

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Interventions for valvular diseaseMitral valve replacement and repair
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