The Revolution in Heart Valve Therapy: Focus on Novel Imaging Techniques in Intra-Procedural Guidance

ABSTRACT

Transcatheter valvular interventions have undergone significant progress over the last years with novel treatment options in even complex valvular conditions. In conjunction with this development, innovative technologies have emerged to facilitate a comprehensive and precise imaging for optimal procedural guidance. These imaging novelties include fusion imaging, three-dimensional (3D) intracardiac echocardiography, and advanced and refined 3D echocardiography rendering tools. The present review provides an overview of these novel imaging tools in transcatheter valvular interventions with a focus on intraprocedural imaging.

Abbreviations: 3D: Three-dimensional; ICE: Intracardiac echocardiography; TEE: Transesophageal echocardiography; CT: Computed tomography; CMR: Cardiac magnetic resonance tomography; TAVR: Transcatheter aortic valve replacement; MPR: Multiplanar reconstruction; TMVR: Transcatheter mitral valve replacement; PVL: Paravalvular leak

KEYWORDS:

• Valvular disease
• transcatheter interventions
• intraprocedural imaging
• fusion imaging
• intracardiac echocardiography
• multiplanar real-time 3D echocardiography
• advanced imaging

Disclosure statement

FK reports having received speaker’s honoraria from Abbott Cardiovascular and Edwards Lifesciences. ART reports having received lecture honoraria from Edwards Lifesciences. TFR reports having received speaker’s honoraria from Abbott Laboratories, Edwards Life Sciences and Philips Healthcare and is a consultant for Abbott Laboratories and Edwards Life Sciences. RSvB reports having received advisory board honoraria from Abbott Cardiovascular, Bioventrix, Boston Scientific, Edwards Lifesciences, and Medtronic and trial steering committee and lecture honoraria from Abbott Cardiovascular and Edwards Lifesciences. All other authors have no conflicts of interest to declare.

Additional information

Funding

The authors have no funding to report.