Percutaneous Aortic Valve Implantation Using Novel Imaging Guidance

被引:21
作者
Dvir, Danny [1 ,2 ]
Kornowski, Ran [1 ,2 ]
机构
[1] Rabin Med Ctr, Dept Cardiol, Inst Intervent Cardiol, IL-49100 Petah Tiqwa, Israel
[2] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
关键词
valvular heart disease (VALV); quantitative vascular angiography (QVA); (IMAG); imaging (CT/MR); REGURGITATION; EXPERIENCE; STENOSIS;
D O I
10.1002/ccd.22362
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thorough imaging of the aortic valve and related structures is highly important before and during percutaneous valve implantation. However, imaging modalities currently used in the catheterization room, namely, conventional aortography and transesophageal echocardiography are limited in guiding the precise valve placement during the implantation procedure. A novel real-time imaging modality capable of three-dimensional reconstruction of the ascending aorta has recently been introduced (CardioOp-THV, C-THV, Paieon Inc., Park Afek, Israel). We applied this system during a complex procedure of percutaneous aortic valve implantation in a patient with severe aortic tortuosity, large aortic-valve angulation, and asymmetric septal hypertrophy. We found the guidance system very helpful not only for accurate positioning of the valve but also for selecting the optimal projection for valve implantation, selecting the prosthetic valve size, and evaluating the results after deployment. (C) 2010 Wiley-Liss, Inc
引用
收藏
页码:450 / 454
页数:5
相关论文
共 10 条
[1]   Severe Valvular Regurgitation and Late Prosthesis Embolization After Percutaneous Aortic Valve Implantation [J].
Clavel, Marie-Annick ;
Dumont, Eric ;
Pibarot, Philippe ;
Doyle, Daniel ;
De Larochelliere, Robert ;
Villeneuve, Jacques ;
Bergeron, Sebastien ;
Couture, Christian ;
Rodes-Cabau, Josep .
ANNALS OF THORACIC SURGERY, 2009, 87 (02) :618-621
[2]   Treatment of calcific aortic stenosis with the percutaneous heart valve - Mid-term follow-up from the initial feasibility studies: The French experience [J].
Cribier, A ;
Eltchaninoff, H ;
Tron, C ;
Bauer, F ;
Agatiello, C ;
Nercolini, D ;
Tapiero, S ;
Litzler, PY ;
Bessou, JP ;
Babaliaros, V .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 47 (06) :1214-1223
[3]   Determinants of Significant Paravalvular Regurgitation After Transcatheter Aortic Valve Implantation Impact of Device and Annulus Discongruence [J].
Detaint, Delphine ;
Lepage, Laurent ;
Himbert, Dominique ;
Brochet, Eric ;
Messika-Zeitoun, David ;
Iung, Bernard ;
Vahanian, Alec .
JACC-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (09) :821-827
[4]  
Dvir Danny, 2005, Int J Cardiovasc Intervent, V7, P141
[5]   CORONARY ANGIOGRAM INTERPRETATION - INTEROBSERVER VARIABILITY [J].
GALBRAITH, JE ;
MURPHY, ML ;
DESOYZA, N .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1978, 240 (19) :2053-2056
[6]   Anatomy of the Aortic Valvar Complex and Its Implications for Transcatheter Implantation of the Aortic Valve [J].
Piazza, Nicolo ;
de Jaegere, Peter ;
Schultz, Carl ;
Becker, Anton E. ;
Serruys, Patrick W. ;
Anderson, Robert H. .
CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2008, 1 (01) :74-81
[7]   Three-dimensional reconstruction allows accurate quantification and length measurements of coronary artery stenoses [J].
Rittger, Harald ;
Schertel, Birgit ;
Schmidt, Martin ;
Justiz, Joern ;
Brachmann, Johannes ;
Sinha, Anil-Martin .
EUROINTERVENTION, 2009, 5 (01) :127-132
[8]   OUR PREOCCUPATION WITH CORONARY LUMINOLOGY - THE DISSOCIATION BETWEEN CLINICAL AND ANGIOGRAPHIC FINDINGS IN ISCHEMIC-HEART-DISEASE [J].
TOPOL, EJ ;
NISSEN, SE .
CIRCULATION, 1995, 92 (08) :2333-2342
[9]   Percutaneous aortic valve therapy: clinical experience and the role of multi-modality imaging [J].
Tops, Laurens F. ;
Delgado, Victoria ;
van der Kley, Frank ;
Bax, Jeroen J. .
HEART, 2009, 95 (18) :1538-1546
[10]   Percutaneous transarterial aortic valve replacement in selected high-risk patients with aortic stenosis [J].
Webb, John G. ;
Pasupati, Sanjeevan ;
Humphries, Karin ;
Thompson, Christopher ;
Altwegg, Lukas ;
Moss, Robert ;
Sinhal, Ajay ;
Carere, Ronald G. ;
Munt, Brad ;
Ricci, Donald ;
Ye, Jian ;
Cheung, Anson ;
Lichtenstein, Sam V. .
CIRCULATION, 2007, 116 (07) :755-763