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Transesophageal echocardiography in NeoChord procedure

Authors: Demetrio, Pittarello; Andrea, Colli; Gianclaudio, Falasco; MARCASSA, ANTONIO; Gino, Gerosa; Carlo, Ori;

Transesophageal echocardiography in NeoChord procedure

Abstract

Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance.The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result.This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.

Country
Italy
Keywords

Heart Valve Prosthesis Implantation, Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography, Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography; Chordae Tendineae; Echocardiography; Three-Dimensional; Echocardiography; Transesophageal; Heart Valve Prosthesis Implantation; Humans; Mitral Valve; Mitral Valve Insufficiency; Ultrasonography; Interventional; Cardiology and Cardiovascular Medicine; Anesthesiology and Pain Medicine, Echocardiography, Three-Dimensional, Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography; Chordae Tendineae; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Heart Valve Prosthesis Implantation; Humans; Mitral Valve; Mitral Valve Insufficiency; Ultrasonography, Interventional; Cardiology and Cardiovascular Medicine; Anesthesiology and Pain Medicine, Mitral Valve Insufficiency, Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography; Chordae Tendineae; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Heart Valve Prosthesis Implantation; Humans; Mitral Valve; Mitral Valve Insufficiency; Ultrasonography, Interventional; Anesthesiology and Pain Medicine; Cardiology and Cardiovascular Medicine; Medicine (all), Anesthesiology, RC666-701, Diseases of the circulatory (Cardiovascular) system, Chordae Tendineae, Humans, Mitral Valve, RD78.3-87.3, Original Article, Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography; Chordae Tendineae; Echocardiography; Three-Dimensional; Echocardiography; Transesophageal; Heart Valve Prosthesis Implantation; Humans; Mitral Valve; Mitral Valve Insufficiency; Ultrasonography; Interventional; Anesthesiology and Pain Medicine; Cardiology and Cardiovascular Medicine; Medicine (all), Echocardiography, Transesophageal, Ultrasonography, Interventional

  • BIP!
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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    13
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Average
Green
gold