Vasilis C. Babaliaros et al. JCIN 2017;10:

Slides:

Advertisements

Similar presentations

3D Echocardiography. u 3D Transesophageal echocardiography has become practical for intraoperative use u Technology provides 3D visualization of MV and.

Advertisements

Date of download: 6/3/2016 Copyright © The American College of Cardiology. All rights reserved. From: Imaging the Left Atrial Appendage Prior to, During,

Date of download: 6/22/2016 Copyright © The American College of Cardiology. All rights reserved. From: Management of coronary artery fistulae: Patient.

Date of download: 6/25/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pulmonary Vein Stenosis Complicating Ablation for.

Date of download: 7/2/2016 Copyright © The American College of Cardiology. All rights reserved. From: Treatment of Chronic Functional Mitral Valve Regurgitation.

Date of download: 7/6/2016 Copyright © The American College of Cardiology. All rights reserved. From: Bail-Out Alcohol Septal Ablation for Left Ventricular.

Date of download: 7/10/2016 Copyright © The American College of Cardiology. All rights reserved. From: Echocardiography for Percutaneous Heart Pumps J.

Traumatic Communication Between Aorta and Left Atrium Diagnosed by Transesophageal Echocardiography by Mian A. Hasan, Mark Rorie, Sharon Stamper, Annette.

Date of download: 9/19/2016 Copyright © The American College of Cardiology. All rights reserved. From: Assessment of aortic regurgitation by transesophageal.

Volume 1, Issue 1, Pages (February 2017)

A transapical-to-aorta double lumen cannula-based neonate left ventricular assist device efficiently unloads the left ventricle in neonate lambs Cheng.

Current concepts in mitral valve prolapse—Diagnosis and management

Cardiac Computed Tomography of Severe Aortic Endocarditis

Circ Cardiovasc Interv

Noninfectious Mitral Annular Disruption

Lindsay S. Rogers, MD, Amy L. Peterson, MD, J

Mackram F. Eleid et al. JIMG 2016;9:

Figure 5 TAVI with a self-expanding valve in

Visualization of vortex flow and shear stress in the aortic root during left ventricular assist device support Shohei Yoshida, MD, Satsuki Fukushima,

2015 The American Association for Thoracic Surgery Consensus Guidelines: Ischemic mitral valve regurgitation Irving L. Kron, MD, Michael A. Acker, MD,

Patrick O’Gara et al. JIMG 2008;1:

Nat. Rev. Cardiol. doi: /nrcardio

Transcatheter Aortic Valve Replacement

Development of Off-Pump Mitral Valve Replacement in a Porcine Model

Philipp Blanke et al. JIMG 2015;8:

Paolo Pagnotta, MD, Marco G

Quadricuspid mitral valve: Of clefts, scallops, and indentations

Alexander Sedaghat et al. JACEP 2017;3:71-75

Direct aortic transcatheter aortic valve implantation for pure aortic valve regurgitation after implantation of a left ventricular assist device René.

Ryoji Nagoshi et al. JCIN 2016;9:e107-e109

Nat. Rev. Cardiol. doi: /nrcardio

Charmaine E. Lok, Michele H. Mokrzycki Kidney International

A transapical-to-aorta double lumen cannula-based neonate left ventricular assist device efficiently unloads the left ventricle in neonate lambs Cheng.

Percutaneous Balloon Valvuloplasty

Eduardo De Marchena et al. JCIN 2015;8:

A B C C D E F LA LA LV LV LV A3 A2 A1 LA P3 P2 A3 A1 P3 P1 A2 A2 P3 P1

Megan Coylewright et al. JCIN 2015;8:

Accessory mitral valve tissue causing severe left ventricular outflow tract obstruction in an adult Yoshikazu Aoka, MD, Naoko Ishizuka, MD, PhD, Yasunari.

Nat. Rev. Cardiol. doi: /nrcardio

Fadi J. Sawaya et al. JCIN 2016;9:

Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A

Echocardiographic visualization and quantification of mitral complex during mitral repair for severe functional mitral regurgitation Kikuko Obase, MD,

Volume 66, Issue 2, Pages (August 1974)

Yusuke Watanabe et al. JCIN 2016;9:

Jason H. Rogers et al. JCIN 2015;8:

Two-dimensional (2D) and Three-dimensional (3D) images of the mitral valve and transmitral flow profile in a patient with AS and a control participant.

Nina C. Wunderlich et al. JIMG 2015;8:

Sagit Ben Zekry et al. JIMG 2008;1:

Michael S. Kim et al. JCIN 2009;2:81-90

Jamil Aboulhosn et al. JCIN 2017;10:53-63

James S. Gammie et al. JACC 2018;71:25-36

Fig. 1. Bj mutant exhibits outflow tract malalignment defects.

Alfredo R. Galassi et al. JCIN 2016;9:

PML AML Figure 1. Biplane Mode (X-plane) acquisition with 3D transoesophageal echocardiography. Left side panel: reference plane mid-oesophageal 4 chamber.

Alfredo R. Galassi et al. JCIN 2016;9:

Alfredo R. Galassi et al. JCIN 2016;9:

Charanjit S. Rihal et al. JCIN 2012;5:

Fadi J. Sawaya et al. JCIN 2016;9:

Philipp Blanke et al. JIMG 2015;8:

Jacqueline Saw, and Mathieu Lempereur JCIN 2014;7:

Illustrative four-chamber (left) and parasternal long axis (right) echocardiographic image of a female aged 49 years with systolic displacement of anterior.

John A. Ormiston et al. JCIN 2008;1:

Ander Regueiro et al. JACC 2017;69:

Philippe Pibarot et al. JIMG 2015;8:

Vasilis C. Babaliaros et al. JCIN 2017;10:

Mackram F. Eleid et al. JIMG 2016;9:

Bushra S. Rana et al. JIMG 2010;3:

Miralem Pasic et al. JCIN 2015;8:1-9

Dee Dee Wang et al. JIMG 2016;9:

Mackram F. Eleid et al. JIMG 2016;9:

Presentation transcript:

Vasilis C. Babaliaros et al. JCIN 2017;10:798-809 LAMPOON to Enable TMVR in Native Mitral Annular Calcification (A to C) Leaflet traversal, (D to F) leaflet laceration, and (G to I) imaging after LAMPOON and TMVR. (A) Guidewire traversal across the base of the anterior mitral leaflet. Four catheters are in place. An antegrade transseptal sheath, used for TMVR, is currently connected via a guidewire rail to control the retrograde LA catheter, which is used to deliver the multiloop snare on the LA side of the anterior mitral leaflet. A retrograde catheter in the LVOT is directing the traversing guidewire. There also is a pigtail catheter in the ascending aorta. (B, C) X-plane TEE immediately after leaflet traversal shows the mid-basal A2 position of the traversal system. Also evident are the 2 catheters and the LA snare. (D) The traversing guidewire tip has been externalized. The guidewire shaft is denuded, kinked, and exposed between the 2 catheters (green circle), and is electrified to slice the anterior mitral leaflet longitudinally. The THV is prepositioned for immediate deployment. (E, F) B-mode and color Doppler TEE after LAMPOON but before TMVR shows severe acute mitral valve regurgitation across the split A2 leaflet scallop. (G) Left ventriculography after TMVR shows the THV encroaches nearly completely across the LVOT and would nearly completely obstruct it if not for LAMPOON. (H, I) B-mode and color Doppler TEE after LAMPOON and TMVR shows the stent struts protruding into the LVOT, and blood flow across those struts indicating successful leaflet splitting. TEE = transesophageal echocardiography; other abbreviations as in Figures 1, 2, and 3. Vasilis C. Babaliaros et al. JCIN 2017;10:798-809 ©2017 by American College of Cardiology