Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications

Introduction and Objectives: To investigate the incidence and clinical relevance of the presence of mobile echogenic images (MEI) during transesophageal echocardiography (TEE) for monitoring of transcatheter aortic valve implantation (TAVI). Methods: Consecutive patients referred to our center for t...

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Main Authors: Eduardo Arroyo-Úcar, Raúl Moreno, Susana del Prado, Teresa López, Angel Sánchez-Recalde, Luis Calvo Orbe, Santiago Jiménez-Valero, Guillermo Galeote, M. Ulises Ramírez, Rosa Gonzalez Davia, Ignacio Plaza, José María Mesa, Jose Luis López-Sendón
Format: Article
Language:English
Published: Elsevier 2016-03-01
Series:Revista Portuguesa de Cardiologia
Online Access:http://www.sciencedirect.com/science/article/pii/S0870255116000147
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spelling doaj-9a45132622ce40cc8c7faba65d4c93bb2020-11-25T02:11:02ZengElsevierRevista Portuguesa de Cardiologia0870-25512016-03-01353133138Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implicationsEduardo Arroyo-Úcar0Raúl Moreno1Susana del Prado2Teresa López3Angel Sánchez-Recalde4Luis Calvo Orbe5Santiago Jiménez-Valero6Guillermo Galeote7M. Ulises Ramírez8Rosa Gonzalez Davia9Ignacio Plaza10José María Mesa11Jose Luis López-Sendón12Hospital La Paz, Madrid, Spain; Corresponding author.Hospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainHospital Infanta Cristina, Parla Madrid, Madrid, SpainHospital Infanta Sofía, San Sebastián de los Reyes, Madrid, SpainHospital La Paz, Madrid, SpainHospital La Paz, Madrid, SpainIntroduction and Objectives: To investigate the incidence and clinical relevance of the presence of mobile echogenic images (MEI) during transesophageal echocardiography (TEE) for monitoring of transcatheter aortic valve implantation (TAVI). Methods: Consecutive patients referred to our center for transfemoral or transapical TAVI were included. The procedure was monitored by three-dimensional (3D) TEE and images were analyzed by two independent experts. In-hospital follow-up was carried out and correlated with imaging findings. Results: A total of 104 patients were included. MEI were visualized in 11 patients during the procedure (11%) and in over 50% of cases were identified as thrombi, however no differences in periprocedural stroke were found in follow-up. Conclusions: Visualization of MEI during 3D TEE monitoring of TAVI is relatively common (11%) and in over 50% of cases they are identified as thrombi. The clinical implications of this finding are uncertain, as despite their frequency, the incidence of clinical stroke in this patient population was no higher. 3D TEE is a useful tool for diagnosis of MEI and can alert the operator to their presence. Resumo: Introdução e objetivos: Investigar a incidência e relevância clínica da presença de imagens ecogénicas móveis (IEM), através de ecocardiografia transesofágica (ETE) durante a implantação valvular aórtica percutânea (TAVI). Métodos: Foram incluídos doentes consecutivos referenciados para o nosso centro para realização de TAVI por via transapical ou transfemoral. Foi realizada a monitorização da ETE 3 D e as imagens foram analisadas por dois peritos individualmente. O seguimento foi realizado no hospital e foi correlacionado com achados de imagem. Resultados: Foram definitivamente incluídos 104 doentes. Durante o procedimento foram visualizadas IEM em 11 pacientes (11%) e,em mais de 50% dos casos, foram identificadas como trombos, não tendo, no entanto, sido encontradas diferenças no seguimento dos doentes. Conclusões: A visualização das IEM através da monitorização por ETE 3 D durante a TAVI é relativamente comum (11%) e, em mais de 50% dos casos, são identificadas como trombos. As implicações clínicas deste achado são incertas, porque apesar da sua frequência não há maior incidência de acidente vascular cerebral clínico nesta população de doentes. A ETE é uma ferramenta útil para o diagnóstico e pode alertar o operador da sua presença. Keywords: Transcatheter aortic valve implantation, Three-dimensional, Aortic stenosis, Transaortic valve, Palavras-chave: Implantação valvular aórtica percutânea, 3 D, Estenose aórtica, Válvula transaórticahttp://www.sciencedirect.com/science/article/pii/S0870255116000147
collection DOAJ
language English
format Article
sources DOAJ
author Eduardo Arroyo-Úcar
Raúl Moreno
Susana del Prado
Teresa López
Angel Sánchez-Recalde
Luis Calvo Orbe
Santiago Jiménez-Valero
Guillermo Galeote
M. Ulises Ramírez
Rosa Gonzalez Davia
Ignacio Plaza
José María Mesa
Jose Luis López-Sendón
spellingShingle Eduardo Arroyo-Úcar
Raúl Moreno
Susana del Prado
Teresa López
Angel Sánchez-Recalde
Luis Calvo Orbe
Santiago Jiménez-Valero
Guillermo Galeote
M. Ulises Ramírez
Rosa Gonzalez Davia
Ignacio Plaza
José María Mesa
Jose Luis López-Sendón
Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications
Revista Portuguesa de Cardiologia
author_facet Eduardo Arroyo-Úcar
Raúl Moreno
Susana del Prado
Teresa López
Angel Sánchez-Recalde
Luis Calvo Orbe
Santiago Jiménez-Valero
Guillermo Galeote
M. Ulises Ramírez
Rosa Gonzalez Davia
Ignacio Plaza
José María Mesa
Jose Luis López-Sendón
author_sort Eduardo Arroyo-Úcar
title Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications
title_short Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications
title_full Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications
title_fullStr Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications
title_full_unstemmed Echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: Incidence, characteristics and clinical implications
title_sort echogenic mobile images in intraprocedural three-dimensional transesophageal echocardiographic monitoring during percutaneous aortic valve implantation: incidence, characteristics and clinical implications
publisher Elsevier
series Revista Portuguesa de Cardiologia
issn 0870-2551
publishDate 2016-03-01
description Introduction and Objectives: To investigate the incidence and clinical relevance of the presence of mobile echogenic images (MEI) during transesophageal echocardiography (TEE) for monitoring of transcatheter aortic valve implantation (TAVI). Methods: Consecutive patients referred to our center for transfemoral or transapical TAVI were included. The procedure was monitored by three-dimensional (3D) TEE and images were analyzed by two independent experts. In-hospital follow-up was carried out and correlated with imaging findings. Results: A total of 104 patients were included. MEI were visualized in 11 patients during the procedure (11%) and in over 50% of cases were identified as thrombi, however no differences in periprocedural stroke were found in follow-up. Conclusions: Visualization of MEI during 3D TEE monitoring of TAVI is relatively common (11%) and in over 50% of cases they are identified as thrombi. The clinical implications of this finding are uncertain, as despite their frequency, the incidence of clinical stroke in this patient population was no higher. 3D TEE is a useful tool for diagnosis of MEI and can alert the operator to their presence. Resumo: Introdução e objetivos: Investigar a incidência e relevância clínica da presença de imagens ecogénicas móveis (IEM), através de ecocardiografia transesofágica (ETE) durante a implantação valvular aórtica percutânea (TAVI). Métodos: Foram incluídos doentes consecutivos referenciados para o nosso centro para realização de TAVI por via transapical ou transfemoral. Foi realizada a monitorização da ETE 3 D e as imagens foram analisadas por dois peritos individualmente. O seguimento foi realizado no hospital e foi correlacionado com achados de imagem. Resultados: Foram definitivamente incluídos 104 doentes. Durante o procedimento foram visualizadas IEM em 11 pacientes (11%) e,em mais de 50% dos casos, foram identificadas como trombos, não tendo, no entanto, sido encontradas diferenças no seguimento dos doentes. Conclusões: A visualização das IEM através da monitorização por ETE 3 D durante a TAVI é relativamente comum (11%) e, em mais de 50% dos casos, são identificadas como trombos. As implicações clínicas deste achado são incertas, porque apesar da sua frequência não há maior incidência de acidente vascular cerebral clínico nesta população de doentes. A ETE é uma ferramenta útil para o diagnóstico e pode alertar o operador da sua presença. Keywords: Transcatheter aortic valve implantation, Three-dimensional, Aortic stenosis, Transaortic valve, Palavras-chave: Implantação valvular aórtica percutânea, 3 D, Estenose aórtica, Válvula transaórtica
url http://www.sciencedirect.com/science/article/pii/S0870255116000147
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