Intraprocedural Guidance and Monitoring

Mara Gavazzoni, Alberto Pozzoli, Mizuki Miura, Edwin Ho, Maurizio Taramasso, André R. Plass, Philipp Haager, Hans Rickli, Michel Zuber, Francesco Maisano

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter covers the fundamental aspects of intraprocedural imaging, related to the surgical replacement or repair of the aortic valve and its corresponding transcatheter, the TAVI. Frequently, echocardiography in the operating room shows unexpected pathological findings, e.g. mitral valve diseases and other neglected conditions (undetected ventricular dysfunctions). The chapter covers step by step all the imaging related to this management. The correct diagnosis and visualization of intraoperative complications (aortic dissection, coronary occlusion, pericardial tamponade, myocardial infarction, etc.) are explained and discussed in detail. The central role in this intraprocedural context is played mostly by echocardiography and by angiography, with inferences on the usefulness of intracardiac ultrasound in specific clinical scenarios. Moreover, application of other advanced imaging modalities, such as echo-fluoro fusion and computed tomography-fluoro imaging, are treated.

Original languageEnglish (US)
Title of host publicationMultimodality Imaging for Cardiac Valvular Interventions, Volume 1 Aortic Valve
Subtitle of host publicationFrom Diagnosis to Decision-Making
PublisherSpringer International Publishing
Pages133-185
Number of pages53
Volume1
ISBN (Electronic)9783030275846
ISBN (Print)9783030275839
DOIs
StatePublished - Jan 1 2020
Externally publishedYes

Keywords

  • Angiography
  • Aortic regurgitation
  • Aortic stenosis
  • Aortic valve
  • Fusion imaging
  • Intracardiac echocardiography
  • Intraoperative echocardiography
  • Multimodality imaging
  • Surgical aortic valve replacement
  • Transcatheter aortic valve implantation

ASJC Scopus subject areas

  • General Medicine

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