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Echocardiography, 3D

Sam Orde, Michel Slama, Nicola Stanley, Stephen Huang, Anthony Mclean
BACKGROUND: Transthoracic 3D cardiac analysis is enticing in its potential simplicity and wealth of data available. It has been suggested to be accurate vs magnetic resonance imaging in relatively stable patients, but feasibility and agreement with conventional echocardiographic assessment of stroke volume (SV) have not been thoroughly assessed in critically ill patients, who are traditionally harder to image. The objectives of this study were to compare 3D transthoracic volumetric analysis vs Doppler assessment of SV (which is suggested to be accurate in the critically ill) and Simpson's biplane assessment in a cohort typical of the intensive care unit (ICU), where accurate assessment is important: mechanically ventilated patients with a significant ventilation/perfusion (V/Q) mismatch...
August 19, 2018: Critical Care: the Official Journal of the Critical Care Forum
Antonio Vitarelli, Enrico Mangieri, Carlo Gaudio, Gaetano Tanzilli, Fabio Miraldi, Lidia Capotosto
PURPOSE: The purpose of this study was to examine right atrial (RA) function by two-dimensional (2DSTE) and three-dimensional (3DSTE) speckle-tracking echocardiography in patients with atrial septal defect (ASD) who had implantation of septal occluders and developed paroxysmal atrial fibrillation (PAF). METHODS: Seventy-three patients with hemodynamically significant secundum ASD were prospectively studied and followed up for six months after occluder insertion and compared with a normal age-matched group(n=73)...
August 17, 2018: Clinical Cardiology
Thilo Noack, Kathleen Wittgen, Philipp Kiefer, Fabian Emrich, Matthias Raschpichler, Sarah Eibel, David Holzhey, Martin Misfeld, Friedrich-Wilhelm Mohr, Michael Borger, Joerg Ender, Joerg Seeburger
BACKGROUND:  The aim of this study was to quantify acute mitral valve (MV) geometry dynamic changes throughout the cardiac cycle using three-dimensional transesophageal echocardiography (3D TEE) in patients undergoing surgical MV repair (MVR) with ring annuloplasty and optional neochord implantation. METHODS:  Twenty-nine patients (63 ± 10 years) with severe primary mitral regurgitation underwent surgical MVR using ring annuloplasty with or without neochord implantation...
August 16, 2018: Thoracic and Cardiovascular Surgeon
Hong-Kui Yu, Bei Xia, Xiao Liu, Chunxi Han, Weiling Chen, Zhihui Li
Three-dimensional (3D) speckle-tracking echocardiography (STE) is a new imaging modality used for quantitative analysis of left ventricular (LV) function. The aim of this study is to assess the value of 3D STE in early detection of subclinical myocardial involvement in children with Duchenne muscular dystrophy (DMD). Fifty-six children with DMD (mean age, 8.8 ± 1.9 years) and 31 age-matched control subjects were studied. Patients were subdivided into two groups by age: ≤ 8 or > 8 years. Standard echocardiography examinations were performed to measure LV size and ejection fraction (EF)...
August 13, 2018: International Journal of Cardiovascular Imaging
Matthew A Jolley, Peter E Hammer, Sunil J Ghelani, Adi Adar, Lynn A Sleeper, Ronald V Lacro, Gerald R Marx, Meena Nathan, David M Harrild
BACKGROUND: Mitral valve (MV) prolapse is common in children with Marfan syndrome (MFS) and is associated with varying degrees of mitral regurgitation (MR). However, the three-dimensional (3D) morphology of the MV in children with MFS and its relation to the degree of MR are not known. The goals of this study were to describe the 3D morphology of the MV in children with MFS and to compare it to that in normal children. METHODS: Three-dimensional transthoracic echocardiography was performed in 27 patients (3-21 years of age) meeting the revised Ghent criteria for MFS and 27 normal children matched by age (±1 year)...
August 8, 2018: Journal of the American Society of Echocardiography
Samuel M Kim, Harsimran S Singh, Jillian Nati, Jonathan N Ginns
PURPOSE OF REVIEW: The goal of this review is to cover the epidemiology of tricuspid regurgitation (TR), anatomy of the tricuspid valve (TV), and the mechanisms and modern treatment of TR. The focus will be on the role of echocardiography, cardiac CT, and MRI to determine the mechanism, severity, and management strategies of TR. RECENT FINDINGS: The evaluation and management of TR is a rapidly growing field with significant advances in both imaging and interventions...
August 9, 2018: Current Treatment Options in Cardiovascular Medicine
Valentina Mantegazza, Annalisa Pasquini, Luciano Agati, Laura Fusini, Manuela Muratori, Paola Gripari, Sarah Ghulam Ali, Carlo Vignati, Antonio Luca Bartorelli, Cristina Ferrari, Francesco Alamanni, Mauro Pepi, Gloria Tamborini
MitraClip is a validated treatment for significant mitral regurgitation (MR) in high-risk patients. Aims of the study were to evaluate immediate changes in mitral valve (MV) geometry induced by MitraClip and correlations between baseline geometry and cardiac remodeling. Eighty patients who underwent MitraClip for primary (48%) or secondary (52%) MR were enrolled. Intraoperative transesophageal echocardiographic 3D images were acquired immediately before and after the procedure for MV annulus (MVA) morphology analysis...
July 4, 2018: American Journal of Cardiology
Thomas d'Humières, Laureline Faivre, Elie Chammous, Jean-François Deux, Eric Bergoënd, Antonio Fiore, Costin Radu, Jean-Paul Couetil, Nicole Benhaiem, Geneviève Derumeaux, Jean-Luc Dubois-Randé, Julien Ternacle, Damien Fard, Pascal Lim
BACKGROUND: Aortic valve calcification (AVC) quantification is computed from multidetector computed tomography (MDCT). The aim of this study was to test the hypothesis that three-dimensional (3D) transthoracic echocardiography can be used to provide a bedside method to assess AVC. METHODS: The study included 94 patients (mean age, 78 ± 12 years; mean aortic valve [AV] area, 1.0 ± 0.6 cm2 ) referred for MDCT and echocardiography for AV assessment. Apical 3D full-volume data sets focused on the AV region were acquired during transthoracic echocardiography, and a region-growing algorithm was applied offline to compute 3D transthoracic echocardiographic AVC (AVC-3DEcho)...
August 1, 2018: Journal of the American Society of Echocardiography
Katrine A Myhr, Frederik H G Pedersen, Charlotte B Kristensen, Lasse Visby, Christian Hassager, Rasmus Mogelvang
PURPOSE: To compare two-dimensional (2D) and three-dimensional (3D) methods to estimate left ventricular ejection fraction (LVEF) with respect to feasibility, time consumption, and retest reproducibility. METHODS: A total of 100 patients planned to undergo coronary artery bypass grafting and/or aortic valve replacement were included consecutively. 2D and 3D echocardiography was performed on all patients. Acquisition and analysis time as well as intra- and inter-examiner variability were assessed in 50 consecutive patients with 3 repeated echocardiographic examinations and analyses...
August 2, 2018: Echocardiography
Peggy M Kostakou, Nikos T Kouris, Vassilios S Kostopoulos, Dimitrios S Damaskos, Christoforos D Olympios
Cardio-oncology is a new field of interest in cardiology that focuses on the detection, monitoring, and treatment of cardiovascular disease occurring as a side effect of chemotherapy and radiotherapy. Both cancer treatment modalities can cause cardiac dysfunction, a major cause of morbidity and mortality in the oncologic population. It is necessary to periodically monitor cancer patients under treatment, especially those receiving anthracyclines and trastuzumab (monoclonal antibody), using mainly 3D echocardiography to calculate left ventricular ejection fraction and to estimate myocardial deformation...
August 2, 2018: Heart Failure Reviews
Himani V Bhatt, John Spivack, Pritul R Patel, Ahmed El-Eshmawi, Yasmin Amir, David H Adams, Gregory W Fischer
OBJECTIVE: This study sought to determine if 3-dimensional (3D) echocardiography would more closely correspond to direct surgical measurements of the maximal tricuspid valve (TV) annular diameter than 2-dimensional (2D) measurements. DESIGN: Prospective study. SETTING: The cardiothoracic operating rooms (ORs) at Mount Sinai Medical Center in New York, NY. PARTICIPANTS: Fifty-nine patients over 18 years of age underwent elective mitral valve surgery for severe mitral regurgitation from 2014 to 2015...
June 2, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Verya Daeichin, Deep Bera, Shreyas Raghunathan, Maysam Shabani Motlagh, Zhao Chen, Chao Chen, Emile Noothout, Hendrik J Vos, Michiel Pertijs, Johan G Bosch, Nico de Jong, Martin Verweij
This paper presents the design, fabrication and characterization of a miniature PZT-on-CMOS matrix transducer for real-time pediatric 3-dimensional (3D) transesophageal echocardiography (TEE). This 3D TEE probe consists of a 32 × 32 array of PZT elements integrated on top of an Application Specific Integrated Circuit (ASIC). We propose a partitioned transmit/receive array architecture wherein the 8 × 8 transmitter elements, located at the centre of the array, are directly wired out and the remaining receive elements are grouped into 96 sub-arrays of 3 × 3 elements...
July 30, 2018: Ultrasound in Medicine & Biology
Inês Delgado, Ana Fonte Boa, Ana Filipa Carvalho, Bruno Melica, Pedro Braga, Vasco Gama Ribeiro
The percutaneous MitraClip system is a catheter-based device designed to perform edge-to-edge mitral valve (MV) leaflet repair at the site of regurgitation. MitraClip implantation is an alternative procedure in patients at high surgical risk with symptomatic severe mitral regurgitation (MR) who are not candidates for MV repair/replacement due to their degree of comorbidity and associated high mortality risk. The procedure is guided by 3-dimensional (3D) transesophageal echocardiography (TEE) and fluoroscopy...
August 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
Antonio Vitarelli, Silvia Lai, Maria Teresa Petrucci, Carlo Gaudio, Lidia Capotosto, Enrico Mangieri, Serafino Ricci, Giuseppe Germanò, Simone De Sio, Giovanni Truscelli, Federico Vozella, Mario Sergio Pergolini, Marcello Giordano
BACKGROUND: Given that in patients with cardiac amyloidosis (CA), deposition of amyloid protein is not restricted to the left ventricular (LV) myocardium, it can be hypothesized that the diagnostic value of deformation mechanics would be enhanced by considering right ventricular (RV) strain measures. The aim of the present study was to examine the potential utility of left ventricular (LV) and right ventricular (RV) deformation and rotational parameters derived from three-dimensional speckle-tracking echocardiograph (3DSTE) to diagnose cardiac amyloidosis and differentiate this disease from other forms of myocardial hypertrophy...
July 23, 2018: International Journal of Cardiology
Lei Zhao, Danielle L Harrop, Arnold C T Ng, William Y S Wang
BACKGROUND: Epicardial adipose tissue (EAT) is a metabolically active visceral fat depot. Although EAT volume is associated with the incidence and burden of atrial fibrillation (AF), its role in subclinical left atrial (LA) dysfunction is unclear. This study aims to evaluate the relationships between EAT volumes, LA function, and LA global longitudinal strain. METHODS: One hundred and thirty people without obstructive coronary artery disease or AF were prospectively recruited into the study in Australia and underwent cardiac computed tomography and echocardiography...
August 2018: Canadian Journal of Cardiology
Diego Medvedofsky, Victor Mor-Avi, Gabriel Sayer, Karima Addetia, Eric Kruse, Sirtaz Adatya, Gene Kim, Lynn Weinert, Megan Yamat, Takeyoshi Ota, Valluvan Jeevanandam, Nir Uriel, Roberto M Lang
Preservation of native left ventricular (LV) function in patients supported with LV assist device (LVAD) may be beneficial to attain optimal hemodynamics and enhance potential recovery. Currently, LVAD speed optimization is based on hemodynamic parameters, without considering residual native LV function. We hypothesized that alternatively, LV rotational mechanics can be quantified by 3D echocardiography (3DE), and may help preserve native LV function while optimizing LVAD speed. The goal of this study was to test the feasibility of quantifying the effects of LVAD implantation on LV rotational mechanics and to determine whether conventional speed optimization maximally preserves native LV function...
July 25, 2018: Echocardiography
Louis Labrousse, Marina Dijos, Lionel Leroux, Pierre Oses, Benjamin Seguy, Muriel Markof, Stéphane Lafitte
Percutaneous edge-to-edge repair using MitraClip® (Abbott Laboratories, Abbott Park, IL, USA) can be used to treat mitral regurgitation. However, real-time echocardiographic guidance is vital; and use of 3D transoesophageal echocardiography to guide the procedure has improved reproducibility, reliability and safety. This review describes the MitraClip® device - which is composed of a steerable guide catheter (SGC) and a Clip Delivery System (CDS) - and the MitraClip® procedure. The procedure consists of six steps: (1) transseptal approach and puncture; (2) introduction of the SGC into the left atrium; (3) navigation with the CDS into the left atrium to place the MitraClip® above the mitral valve; (4) crossing the valve and advancing the CDS into the left ventricle; (5) grasping the leaflets and assessment of the quality of the grasping; and (6) final mitral regurgitation assessment...
June 2018: Archives of Cardiovascular Diseases
Meena Bhatia, Priya Kumar, Susan M Martinelli
The mitral valve remains a complex structure where multiple forms of pathology can be seen. Mitral regurgitation continues to be one of the most common valvular diseases in the industrialized world. While intraoperative 2-dimensional transesophageal echocardiography has been commonplace for some time, 3-dimensional technology has emerged and has shown great benefit for diagnosis and guidance during mitral valve surgery. In the hands of a trained sonographer, high-quality real-time images can easily be obtained and correlate well with gross anatomical findings...
July 1, 2018: Seminars in Cardiothoracic and Vascular Anesthesia
Elena Surkova, Roxy Senior, Wei Li
No abstract text is available yet for this article.
July 16, 2018: European Heart Journal Cardiovascular Imaging
Mounir Riahi, Mari Nieves Velasco Forte, Nick Byrne, Anthony Hermuzi, Matthew Jones, Alban-Elouen Baruteau, Israel Valverde, Shakeel A Qureshi, Eric Rosenthal
AIMS: Superior sinus venosus atrial septal defect (SVASD) is commonly associated with partial anomalous pulmonary venous drainage (PAPVD). We aimed to describe the first series of percutaneous SVASD and PAPVD correction using a two-step simulation for procedural planning. METHODS AND RESULTS: Patients with SVASD and right PAPVD with a clinical indication for correction were selected. They underwent an ex vivo procedural simulation on a 3D-printed model followed by an in vivo simulation using balloon inflation in the targeted stent landing zone...
July 18, 2018: EuroIntervention
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