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Guidance of Transcatheter Aortic Valve Replacement by Echocardiography

  • Echocardiography (RM Lang, Section Editor)
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Abstract

Transcatheter aortic valve replacement (TAVR) has recently emerged as an alternative to surgical aortic valve replacement for patients with severe aortic stenosis who are at “high risk” or deemed inoperable. Careful pre-procedural preparation requires multi-modality imaging. Intra-procedural imaging frequently relies on transesophageal echocardiography (TEE). This review will discuss the role of TEE in pre-implantation assessment, intra-procedural guidance, and post-implantation evaluation.

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Abbreviations

2D:

Two-dimensional echocardiography

3D:

Three-dimensional echocardiography

BAV:

Balloon aortic valvuloplasty

CMR:

Cardiac magnetic resonance

MSCT:

Multislice computed tomography

PD:

Post-dilatation

PVR:

Paravalvular regurgitation

SOV:

Sinus of Valsalva

TAVR:

Transcatheter aortic valve replacement

TEE:

Trans-esophageal echocardiogram

THV:

Transcatheter heart valve

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Cribier A, Eltchaninoff H, Bash A, Borenstein N, Tron C, Bauer F, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: first human case description. Circulation. 2002;106(24):3006–8.

    Article  PubMed  Google Scholar 

  2. • Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363(17):1597–607. In this report of inoperable arm of the PARNTER trial, there was a 25% mortality benefit with transcatheter aortic valve replacmenet compared to medical therapy.

    Article  CAS  PubMed  Google Scholar 

  3. • Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364(23):2187–98. In this report of high risk surgical arm of the PARNTER trial, transcatheter aortic valve replacmenet was noninferior to standard surgical aortic valve replacement therapy.

    Article  CAS  PubMed  Google Scholar 

  4. Zamorano JL, Badano LP, Bruce C, Chan KL, Goncalves A, Hahn RT, et al. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. J Am Soc Echocardiogr. 2011;24(9):937–65.

    Article  PubMed  Google Scholar 

  5. Bloomfield GS, Gillam LD, Hahn RT, Kapadia S, Leipsic J, Lerakis S, et al. A practical guide to multimodality imaging of transcatheter aortic valve replacement. JACC Cardiovasc Imaging. 2012;5(4):441–55.

    Article  PubMed  Google Scholar 

  6. Kappetein AP, Head SJ, Genereux P, Piazza N, van Mieghem NM, Blackstone EH, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. J Am Coll Cardiol. 2012;60(15):1438–54.

    Article  PubMed  Google Scholar 

  7. • Achenbach S, Delgado V, Hausleiter J, Schoenhagen P, Min JK, Leipsic JA. SCCT expert consensus document on computed tomography imaging before transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR). J Cardiovasc Comput Tomogr. 2012;6(6):366–80. This is the first expert consensus document outlining the appropriate use of multi-slice computed tomography for transcatheter aortic valve therapy including the screening of vascular access, determination of annular size.

    Article  PubMed  Google Scholar 

  8. Patel PA, Fassl J, Thompson A, Augoustides JG. Transcatheter aortic valve replacement–part 3: the central role of perioperative transesophageal echocardiography. J Cardiothorac Vasc Anesth. 2012;26(4):698–710.

    Article  PubMed  Google Scholar 

  9. Holmes Jr DR, Mack MJ, Kaul S, Agnihotri A, Alexander KP, Bailey SR, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol. 2012;59(13):1200–54.

    Article  PubMed  Google Scholar 

  10. Kasel AM, Cassese S, Bleiziffer S, Amaki M, Hahn RT, Kastrati A, et al. Standardized imaging for aortic annular sizing: implications for transcatheter valve selection. JACC Cardiovasc Imaging. 2013;6(2):249–62.

    Article  PubMed  Google Scholar 

  11. Leipsic J, Hague CJ, Gurvitch R, Ajlan AM, Labounty TM, Min JK. MDCT to guide transcatheter aortic valve replacement and mitral valve repair. Cardiol Clin. 2012;30(1):147–60.

    Article  PubMed  Google Scholar 

  12. Gurvitch R, Webb JG, Yuan R, Johnson M, Hague C, Willson AB, et al. Aortic annulus diameter determination by multidetector computed tomography: reproducibility, applicability, and implications for transcatheter aortic valve implantation. JACC Cardiovasc Interv. 2011;4(11):1235–45.

    Article  PubMed  Google Scholar 

  13. Smith LA, Dworakowski R, Bhan A, Delithanasis I, Hancock J, Maccarthy PA, et al. Real-time three-dimensional transesophageal echocardiography adds value to transcatheter aortic valve implantation. J Am Soc Echocardiogr. 2013;26(4):359–69.

    Article  PubMed  Google Scholar 

  14. • Zamorano JL, Badano LP, Bruce C, Chan KL, Goncalves A, Hahn RT, et al. EAE/ASE recommendations for the use of echocardiography in new transcatheter interventions for valvular heart disease. Eur Heart J. 2011;32(17):2189–214. This is the first expert consensus document outlining the appropriate use of echocardiography for transcatheter aortic valve therapy including its use in: patient selection, peri-procedural echocardiography during transcatheter aortic valve implantation and post-implant assessment of transcatheter valve function.

    Article  PubMed  Google Scholar 

  15. Bonow RO, Carabello BA, Kanu C, de Leon Jr AC, Faxon DP, Freed MD, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): developed in collaboration with the Society of Cardiovascular Anesthesiologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation. 2006;114(5):e84–231.

    Article  PubMed  Google Scholar 

  16. Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, et al. Guidelines on the management of valvular heart disease: the task force on the management of valvular heart disease of the european society of cardiology. Eur Heart J. 2007;28(2):230–68.

    PubMed  Google Scholar 

  17. Baumgartner H, Hung J, Bermejo J, Chambers JB, Evangelista A, Griffin BP, et al. Echocardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echocardiogr. 2009;22(1):1–23. quiz 101-2.

    Article  PubMed  Google Scholar 

  18. Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921–65.

    Article  PubMed  Google Scholar 

  19. Detaint D, Lepage L, Himbert D, Brochet E, Messika-Zeitoun D, Iung B, et al. Determinants of significant paravalvular regurgitation after transcatheter aortic valve: implantation impact of device and annulus discongruence. JACC Cardiovasc Interv. 2009;2(9):821–7.

    Article  PubMed  Google Scholar 

  20. • Athappan G, Patvardhan E, Tuzcu EM, Svensson LG, Lemos PA, Fraccaro C, et al. Incidence, predictors, and outcomes of aortic regurgitation after transcatheter aortic valve replacement: meta-analysis and systematic review of literature. J Am Coll Cardiol. 2013;61(15):1585–95. In this meta-analysis of 25 studies reporting predictors of PVR, three primary etiologies were identified: multi-slice computed tomography (MSCT) mean Agatston calcium score, valve undersizing, and depth of implantation.

    Article  PubMed  Google Scholar 

  21. Toggweiler S, Humphries KH, Lee M, Binder RK, Moss RR, Freeman M, et al. 5-year outcome after transcatheter aortic valve implantation. J Am Coll Cardiol. 2013;61(4):413–9.

    Google Scholar 

  22. Kodali SK, Williams MR, Smith CR, Svensson LG, Webb JG, Makkar RR, et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012;366(18):1686–95.

    Google Scholar 

  23. Unbehaun A, Pasic M, Dreysse S, Drews T, Kukucka M, Mladenow A, et al. Transapical aortic valve implantation: incidence and predictors of paravalvular leakage and transvalvular regurgitation in a series of 358 patients. J Am Coll Cardiol. 2012;59(3):211–21.

    Google Scholar 

  24. Sinning JM, Hammerstingl C, Vasa-Nicotera M, Adenauer V, Lema Cachiguango SJ, Scheer AC, et al. Aortic regurgitation index defines severity of peri-prosthetic regurgitation and predicts outcome in patients after transcatheter aortic valve implantation. J Am Coll Cardiol. 2012;59(13):1134–41.

    Google Scholar 

  25. Messika-Zeitoun D, Serfaty JM, Brochet E, Ducrocq G, Lepage L, Detaint D, et al. Multimodal assessment of the aortic annulus diameter: implications for transcatheter aortic valve implantation. J Am Coll Cardiol. 2010;55(3):186–94.

    Article  PubMed  Google Scholar 

  26. Altiok E, Koos R, Schroder J, Brehmer K, Hamada S, Becker M, et al. Comparison of two-dimensional and three-dimensional imaging techniques for measurement of aortic annulus diameters before transcatheter aortic valve implantation. Heart. 2011;97(19):1578–84.

    Article  PubMed  Google Scholar 

  27. Tzikas A, Schultz CJ, Piazza N, Moelker A, Van Mieghem NM, Nuis RJ, et al. Assessment of the aortic annulus by multislice computed tomography, contrast aortography, and trans-thoracic echocardiography in patients referred for transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2011;77(6):868–75.

    Article  PubMed  Google Scholar 

  28. Gaspar T, Adawi S, Sachner R, Asmer I, Ganaeem M, Rubinshtein R, et al. Three-dimensional imaging of the left ventricular outflow tract: impact on aortic valve area estimation by the continuity equation. J Am Soc Echocardiogr. 2012;25(7):749–57.

    Article  PubMed  Google Scholar 

  29. Saitoh T, Shiota M, Izumo M, Gurudevan SV, Tolstrup K, Siegel RJ, et al. Comparison of left ventricular outflow geometry and aortic valve area in patients with aortic stenosis by 2-dimensional versus 3-dimensional echocardiography. Am J Cardiol. 2012;109(11):1626–31.

    Article  PubMed  Google Scholar 

  30. Hamdan A, Guetta V, Konen E, Goitein O, Segev A, Raanani E, et al. Deformation dynamics and mechanical properties of the aortic annulus by 4-dimensional computed tomography insights into the functional anatomy of the aortic valve complex and implications for transcatheter aortic valve therapy. J Am Coll Cardiol. 2012;59(2):119–27.

    Article  PubMed  Google Scholar 

  31. Akhtar M, Tuzcu EM, Kapadia SR, Svensson LG, Greenberg RK, Roselli EE, et al. Aortic root morphology in patients undergoing percutaneous aortic valve replacement: evidence of aortic root remodeling. J Thorac Cardiovasc Surg. 2009;137(4):950–6.

    Article  PubMed  Google Scholar 

  32. Buellesfeld L, Stortecky S, Kalesan B, Gloekler S, Khattab AA, Nietlispach F, et al. Aortic root dimensions among patients with severe aortic stenosis undergoing transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2013;6(1):72–83.

    Article  PubMed  Google Scholar 

  33. Ewe SH, Ng AC, Schuijf JD, van der Kley F, Colli A, Palmen M, et al. Location and severity of aortic valve calcium and implications for aortic regurgitation after transcatheter aortic valve implantation. Am J Cardiol. 2011;108(10):1470–7.

    Article  CAS  PubMed  Google Scholar 

  34. Colli A, D'Amico R, Kempfert J, Borger MA, Mohr FW, Walther T. Transesophageal echocardiographic scoring for transcatheter aortic valve implantation: impact of aortic cusp calcification on postoperative aortic regurgitation. J Thorac Cardiovasc Surg. 2011;142(5):1229–35.

    Article  PubMed  Google Scholar 

  35. Koos R, Altiok E, Mahnken AH, Neizel M, Dohmen G, Marx N, et al. Evaluation of aortic root for definition of prosthesis size by magnetic resonance imaging and cardiac computed tomography: Implications for transcatheter aortic valve implantation. Int J Cardiol. 2011.

  36. Willson AB, Webb JG, Labounty TM, Achenbach S, Moss R, Wheeler M, et al. 3-dimensional aortic annular assessment by multidetector computed tomography predicts moderate or severe paravalvular regurgitation after transcatheter aortic valve replacement: a multicenter retrospective analysis. J Am Coll Cardiol. 2012;59(14):1287–94.

    Article  PubMed  Google Scholar 

  37. Jilaihawi H, Kashif M, Fontana G, Furugen A, Shiota T, Friede G, et al. Cross-sectional computed tomographic assessment improves accuracy of aortic annular sizing for transcatheter aortic valve replacement and reduces the incidence of paravalvular aortic regurgitation. J Am Coll Cardiol. 2012;59(14):1275–86.

    Article  PubMed  Google Scholar 

  38. Santos N, de Agustin JA, Almeria C, Goncalves A, Marcos-Alberca P, Fernandez-Golfin C, et al. Prosthesis/annulus discongruence assessed by three-dimensional transoesophageal echocardiography: a predictor of significant paravalvular aortic regurgitation after transcatheter aortic valve implantation. Eur Heart J Cardiovasc Imaging. 2012;13(11):931–7.

    Article  PubMed  Google Scholar 

  39. Janosi RA, Kahlert P, Plicht B, Wendt D, Eggebrecht H, Erbel R, et al. Measurement of the aortic annulus size by real-time three-dimensional transesophageal echocardiography. Minim Invasive Ther Allied Technol. 2011;20(2):85–94.

    Article  PubMed  Google Scholar 

  40. Tsang W, Bateman MG, Weinert L, Pellegrini G, Mor-Avi V, Sugeng L, et al. Accuracy of aortic annular measurements obtained from three-dimensional echocardiography, CT and MRI: human in vitro and in vivo studies. Heart. 2012;98(15):1146–52.

    Article  PubMed  Google Scholar 

  41. Gripari P, Ewe SH, Fusini L, Muratori M, Ng AC, Cefalu C, et al. Intraoperative 2D and 3D transoesophageal echocardiographic predictors of aortic regurgitation after transcatheter aortic valve implantation. Heart. 2012;98(16):1229–36.

    Article  PubMed  Google Scholar 

  42. • Jilaihawi H, Doctor N, Kashif M, Chakravarty T, Rafique A, Makar M, et al. Aortic annular sizing for transcatheter aortic valve replacement using cross-sectional 3-dimensional transesophageal echocardiography. J Am Coll Cardiol. 2013;61(9):908–16. In this paper which used computed tomography to size the annulus, Average cross-sectional diameter by CT offered a high degree of discrimination for detecting post-TAVR paravalvular AR moderate or greater. Mean cross-sectional diameter by 3D-TEE was of intermediate value.

    Article  PubMed  Google Scholar 

  43. Husser O, Rauch S, Endemann DH, Resch M, Nunez J, Bodi V, et al. Impact of three-dimensional transesophageal echocardiography on prosthesis sizing for transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2012.

  44. Shahgaldi K, da Silva C, Back M, Ruck A, Manouras A, Sahlen A. Transesophageal echocardiography measurements of aortic annulus diameter using biplane mode in patients undergoing transcatheter aortic valve implantation. Cardiovasc Ultrasound. 2013;11(1):5.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Hahn RT, Khalique O, Williams MR, et al. Predicting paravalvular regurgitation following transcatheter valve replacement: utility of a novel method for three-dimensional echocardiographic measurements of the aortic annulus. J Am Soc Echocardiogr. 2013;26:1044–52.

    Google Scholar 

  46. Khalique OK, Kodali S, Paradis JM, Nazif TM, Williams MR, Einstein AJ, et al. Aortic Annular Sizing Using a Novel 3-Dimensional Echocardiographic Method: Utility and Comparison to Cardiac Computed Tomography. Circ Cardiovasc Imaging. 2013. doi:10.1161/CIRCIMAGING.113.001153.

  47. • Binder RK, Webb JG, Willson AB, Urena M, Hansson NC, Norgaard BL, et al. The impact of integration of a multidetector computed tomography annulus area sizing algorithm on outcomes of transcatheter aortic valve replacement: a prospective, multicenter, controlled trial. J Am Coll Cardiol. 2013;62(5):431–8. This study prospectively investigated the impact of integration of a multidetector computed tomography (MDCT) annular area sizing algorithm on transcatheter aortic valve replacement (TAVR) outcomes and found the algorithm reduces PAR.

    Article  PubMed  Google Scholar 

  48. Calleja A, Thavendiranathan P, Ionasec RI, Houle H, Liu S, Voigt I, et al. Automated quantitative 3-dimensional modeling of the aortic valve and root by 3-dimensional transesophageal echocardiography in normals, aortic regurgitation, and aortic stenosis: comparison to computed tomography in normals and clinical implications. Circ Cardiovasc Imaging. 2013;6(1):99–108.

    Article  PubMed  Google Scholar 

  49. Tamborini G, Fusini L, Gripari P, Muratori M, Cefalu C, Maffessanti F, et al. Feasibility and accuracy of 3DTEE versus CT for the evaluation of aortic valve annulus to left main ostium distance before transcatheter aortic valve implantation. JACC Cardiovasc Imaging. 2012;5(6):579–88.

    Article  PubMed  Google Scholar 

  50. Genereux P, Reiss GR, Kodali SK, Williams MR, Hahn RT. Periaortic hematoma after transcatheter aortic valve replacement: description of a new complication. Catheter Cardiovasc Interv. 2012;79(5):766–76.

    Article  PubMed  Google Scholar 

  51. Barbanti M, Yang TH, Rodes-Cabau J. Tamburino C. Jilaihawi H, et al. Anatomical and Procedural Features Associated with Aortic Root Rupture During Balloon-Expandable Transcatheter Aortic Valve Replacement. Circulation: Wood DA; 2013.

    Google Scholar 

  52. Masson JB, Kovac J, Schuler G, Ye J, Cheung A, Kapadia S, et al. Transcatheter aortic valve implantation: review of the nature, management, and avoidance of procedural complications. JACC Cardiovasc Interv. 2009;2(9):811–20.

    Article  PubMed  Google Scholar 

  53. Fiorina C, Curello S, Maffeo D, Lorusso R, Chizzola G, Ettori F. Management of acute left main obstruction after transcatheter aortic valve replacement: the "tunnel technique". Cardiovasc Revasc Med. 2012;13(2):142 e5–9.

    Article  Google Scholar 

  54. Ribeiro HB, Nombela-Franco L, Urena M, Mok M, Pasian S, Doyle D, et al. Coronary obstruction following transcatheter aortic valve implantation: a systematic review. JACC Cardiovasc Interv. 2013;6(5):452–61.

    Article  PubMed  Google Scholar 

  55. Latib A, Michev I, Laborde JC, Montorfano M, Colombo A. Post-implantation repositioning of the CoreValve percutaneous aortic valve. JACC Cardiovasc Interv. 2010;3(1):119–21.

    Article  PubMed  Google Scholar 

  56. Schultz CJ, Weustink A, Piazza N, Otten A, Mollet N, Krestin G, et al. Geometry and degree of apposition of the CoreValve ReValving system with multislice computed tomography after implantation in patients with aortic stenosis. J Am Coll Cardiol. 2009;54(10):911–8.

    Article  PubMed  Google Scholar 

  57. Schultz CJ, Tzikas A, Moelker A. Rossi A. Geleijnse MM, et al. Correlates on MSCT of paravalvular aortic regurgitation after transcatheter aortic valve implantation using the medtronic corevalve prosthesis. Catheter Cardiovasc Interv: Nuis RJ; 2011.

    Google Scholar 

  58. Eggebrecht H, Doss M, Schmermund A, Nowak B, Krissel J, Voigtlander T. Interventional options for severe aortic regurgitation after transcatheter aortic valve implantation: balloons, snares, valve-in-valve. Clin Res Cardiol. 2012;101(6):503–7.

    Article  PubMed  Google Scholar 

  59. Block PC. Leaks and the "great ship" TAVI. Catheter Cardiovasc Interv. 2010;75(6):873–4.

    Article  PubMed  Google Scholar 

  60. Lerakis S, Hayek SS, Douglas PS. Paravalvular aortic leak after transcatheter aortic valve replacement: current knowledge. Circulation. 2013;127(3):397–407.

    Article  PubMed  Google Scholar 

  61. • Genereux P, Head SJ, Hahn R, Daneault B, Kodali S, Williams MR, et al. Paravalvular leak after transcatheter aortic valve replacement: the new Achilles' heel? A comprehensive review of the literature. J Am Coll Cardiol. 2013;61(11):1125–36. This paper reviews the current literature on paravalvular regurgitation following transcatheter aortic valve replacement.

    Article  PubMed  Google Scholar 

  62. Nuis RJ, Van Mieghem NM, Schultz CJ, Tzikas A, Van der Boon RM, Maugenest AM, et al. Timing and potential mechanisms of new conduction abnormalities during the implantation of the Medtronic CoreValve System in patients with aortic stenosis. Eur Heart J. 2011;32(16):2067–74.

    Article  PubMed  Google Scholar 

  63. Saia F, Lemos PA, Bordoni B, Cervi E, Boriani G, Ciuca C, et al. Transcatheter aortic valve implantation with a self-expanding nitinol bioprosthesis: prediction of the need for permanent pacemaker using simple baseline and procedural characteristics. Catheter Cardiovasc Interv. 2012;79(5):712–9.

    Article  PubMed  Google Scholar 

  64. Binder RK, Leipsic J, Wood D, Moore T, Toggweiler S, Willson A, et al. Prediction of optimal deployment projection for transcatheter aortic valve replacement: angiographic 3-dimensional reconstruction of the aortic root versus multidetector computed tomography. Circ Cardiovasc Interv. 2012;5(2):247–52.

    Article  PubMed  Google Scholar 

  65. Meyhoer J, Ahrens J, Neuss M, Holschermann F, Schau T, Butter C. Rotational angiography for preinterventional imaging in transcatheter aortic valve implantation. Catheter Cardiovasc Interv. 2012;79(5):756–65.

    Article  PubMed  Google Scholar 

  66. Bagur R, Rodes-Cabau J, Doyle D, De Larochelliere R, Villeneuve J, Lemieux J, et al. Usefulness of TEE as the primary imaging technique to guide transcatheter transapical aortic valve implantation. JACC Cardiovasc Imaging. 2011;4(2):115–24.

    Article  PubMed  Google Scholar 

  67. Dvir D, Lavi I, Eltchaninoff H, Himbert D, Almagor Y, Descoutures F, et al. Multicenter evaluation of Edwards SAPIEN positioning during transcatheter aortic valve implantation with correlates for device movement during final deployment. JACC Cardiovasc Interv. 2012;5(5):563–70.

    Article  PubMed  Google Scholar 

  68. Al-Attar N, Ghodbane W, Himbert D, Rau C, Raffoul R, Messika-Zeitoun D, et al. Unexpected complications of transapical aortic valve implantation. Ann Thorac Surg. 2009;88(1):90–4.

    Article  PubMed  Google Scholar 

  69. Bagur R, Rodes-Cabau J, Doyle D, De Larochelliere R, Villeneuve J, Lemieux J, et al. Usefulness of TEE as the primary imaging technique to guide transcatheter transapical aortic valve implantation. J Am Coll Cardiol Img. 2011;4(2):115–24.

    Article  Google Scholar 

  70. Patel PA, Fassl J, Thompson A, Augoustides JG. Transcatheter aortic valve replacement-part 3: The central role of perioperative transesophageal echocardiography. J Cardiothorac Vasc Anesth. 2012.

  71. Griese DP, Reents W, Kerber S, Diegeler A, Babin-Ebell J. Emergency cardiac surgery during transfemoral and transapical transcatheter aortic valve implantation: Incidence, reasons, management, and outcome of 411 patients from a single center. Catheter Cardiovasc Interv. 2013.

  72. • Eggebrecht H, Schmermund A, Kahlert P, Erbel R, Voigtlander T, Mehta RH. Emergent cardiac surgery during transcatheter aortic valve implantation (TAVI): a weighted meta-analysis of 9,251 patients from 46 studies. EuroIntervention. 2013;8(9):1072–80. In this meta-analysis of 46 studies, the causes of emergency bail-out surgery following transcatheter aortic valve replacement included: embolization/dislocation of the aortic prosthesis aortic dissection, coronary obstruction, severe aortic valve regurgitation, annular rupture, aortic injury, and myocardial injury including tamponade.

    Article  PubMed  Google Scholar 

  73. Nombela-Franco L, Rodes-Cabau J, DeLarochelliere R, Larose E, Doyle D, Villeneuve J, et al. Predictive factors, efficacy, and safety of balloon post-dilation after transcatheter aortic valve implantation with a balloon-expandable valve. JACC Cardiovasc Interv. 2012;5(5):499–512.

    Article  PubMed  Google Scholar 

  74. Genereux P, Kodali SK, Green P, Paradis JM, Daneault B, Rene G, et al. Incidence and effect of acute kidney injury after transcatheter aortic valve replacement using the new valve academic research consortium criteria. Am J Cardiol. 2013;111(1):100–5.

    Article  PubMed Central  PubMed  Google Scholar 

  75. Unbehaun A, Pasic M, Dreysse S, Drews T, Kukucka M, Mladenow A, et al. Transapical aortic valve implantation: incidence and predictors of paravalvular leakage and transvalvular regurgitation in a series of 358 patients. J Am Coll Cardiol. 2012;59(3):211–21.

    Article  PubMed  Google Scholar 

  76. Zoghbi WA, Chambers JB, Dumesnil JG, Foster E, Gottdiener JS, Grayburn PA, et al. Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound: a report From the American Society of Echocardiography's Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2009;22(9):975–1014. quiz 82-4.

    Article  PubMed  Google Scholar 

  77. Douglas PS, Waugh RA, Bloomfield G, Dunn G, Davis L, Hahn RT, et al. Implementation of echocardiography core laboratory best practices: a case study of the PARTNER I trial. J Am Soc Echocardiogr. 2013;26(4):348–58.

    Article  PubMed  Google Scholar 

  78. Goncalves A, Almeria C, Marcos-Alberca P, Feltes G, Hernandez-Antolin R, Rodriguez E, et al. Three-dimensional echocardiography in paravalvular aortic regurgitation assessment after transcatheter aortic valve implantation. J Am Soc Echocardiogr. 2012;25(1):47–55.

    Article  PubMed  Google Scholar 

  79. Tay EL, Gurvitch R, Wijesinghe N, Nielispach F, Wood D, Cheung A, et al. A high-risk period for cerebrovascular events exists after transcatheter aortic valve implantation. JACC Cardiovasc Interv. 2011;4(12):1290–7.

    Article  PubMed  Google Scholar 

  80. Daneault B, Koss E, Hahn RT, Kodali S, Williams MR, Genereux P, et al. Efficacy and safety of postdilatation to reduce paravalvular regurgitation during balloon-expandable transcatheter aortic valve replacement. Circ Cardiovasc Interv. 2013;6(1):85–91.

    Article  PubMed  Google Scholar 

  81. Sinning JM, Hammerstingl C, Vasa-Nicotera M, Adenauer V, Lema Cachiguango SJ, Scheer AC, et al. Aortic regurgitation index defines severity of peri-prosthetic regurgitation and predicts outcome in patients after transcatheter aortic valve implantation. J Am Coll Cardiol. 2012;59(13):1134–41.

    Article  PubMed  Google Scholar 

  82. Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, et al. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012;25(1):3–46.

    Article  PubMed  Google Scholar 

  83. Nombela-Franco L, Webb JG, de Jaegere PP, Toggweiler S, Nuis RJ, Dager AE, et al. Timing, predictive factors, and prognostic value of cerebrovascular events in a large cohort of patients undergoing transcatheter aortic valve implantation. Circulation. 2012;126(25):3041–53.

    Google Scholar 

  84. Makkar RR, Jilaihawi H, Chakravarty T, Fontana GP, Kapadia S, Babaliaros V, et al. Determinants and outcomes of acute transcatheter valve-in-valve therapy or embolization: a study of multiple valve implants in the US PARTNER Trial. J Am Coll Cardiol. 2013.

  85. Jilaihawi H, Chin D, Spyt T, Jeilan M, Vasa-Nicotera M, Bence J, et al. Prosthesis-patient mismatch after transcatheter aortic valve implantation with the Medtronic-Corevalve bioprosthesis. Eur Heart J. 2010;31(7):857–64.

    Article  PubMed  Google Scholar 

  86. Clavel MA, Rodes-Cabau J, Dumont E, Bagur R, Bergeron S, De Larochelliere R, et al. Validation and characterization of transcatheter aortic valve effective orifice area measured by Doppler echocardiography. JACC Cardiovasc Imaging. 2011;4(10):1053–62.

    Article  PubMed  Google Scholar 

  87. Shames S, Koczo A, Hahn R, Jin Z, Picard MH, Gillam LD. Flow characteristics of the SAPIEN aortic valve: the importance of recognizing in-stent flow acceleration for the echocardiographic assessment of valve function. J Am Soc Echocardiogr. 2012.

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Conflict of Interest

Rebecca T. Hahn has received travel/accommodations expenses covered or reimbursed for travel to/from Washington for FDA panel from Edwards Lifesciences.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Columbia University Medical Center/New York Presbyterian Hospital, 177 Fort Washington Avenue, New York, NY, 10032, USA

    Rebecca T. Hahn

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  1. Rebecca T. Hahn
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Correspondence to Rebecca T. Hahn.

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This article is part of the Topical Collection on Echocardiography

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Hahn, R.T. Guidance of Transcatheter Aortic Valve Replacement by Echocardiography. Curr Cardiol Rep 16, 442 (2014). https://doi.org/10.1007/s11886-013-0442-7

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