ImaginginandAroundthe CathLab - UC Davis Health · 2014. 6. 6. · ImagingandTEE •...
Transcript of ImaginginandAroundthe CathLab - UC Davis Health · 2014. 6. 6. · ImagingandTEE •...
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Imaging in and Around the Cath Lab
Thomas Smith, MD FACC University of California, Davis
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Disclosures
• I have no disclosures perAnent to this presentaAon.
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ModaliAes in Procedure Lab
• Intracardiac Echocardiography (ICE) • Transthoracic Echocardiography (TTE) • Transesophageal Echocardiography (TEE)
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Key Points to AnAcipate Imaging
• Which chamber or valve?
• General anesthesia?
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Primary Procedures Requiring Imaging
• Exclusion of LAA thrombus – Afib/fluQer ablaAon – Mitral valvuloplasty
• Transseptal – most procedures involving LA or LV • Valve replacement
– AV, ?MV, ? PV • Valvuloplasty
– Mitral or aorAc • Valve repair
– MitraClip – Paravalvular leak repair
• Pericardiocentesis • Alcohol septal ablaAon • PFO or ASD closure
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Transseptal Procedures
– Mitral Valvuloplasty
– EP AblaAons – Paravalvular Leak – LeV Atrial Appendage Closure
– Mitral Repair with MitraClip system
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LA
RA SS
SP Length
H ED
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SVC IVC
EV
Bicaval TEE
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LA
RA
EV
SVC IVC
Caval flow into the RA
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Intracardiac Echocardiography
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Intracardiac Echocardiography
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Intracardiac echo
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Transesophageal Echocardiography
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Esophagus
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LAA
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LA Appendage – Thrombus
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MITRACLIP Mitral valve repair
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MitraClip Procedure AnimaAon
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Imaging ObjecAves in MitraClip
• Exclude LAA thrombus. • Document preprocedure MR. • Guide crossing point for trans-‐septal • Guide catheters in the LA to appropriate posiAon. • Guide clip posiAoning. • Assess for safe capture of leaflets. • Post-‐procedure MR assessment. • Assess for complicaAons.
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Endovascular Mitral Repair System
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3D Transesophageal Echo
AV *
SVC
Ao
* FO
View from RA View from LA
Ao
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Transeptal Puncture
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Sheath Placement in LA
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Guide Catheter Across Septum
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Clip IntroducAon
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Clip OrientaAon/Steering
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Open Clip
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Clip Alignment/Line of CoaptaAon
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PosiAoned above MR jet
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Clip Advanced into LV
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Leaflet Capture
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Capture
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Clip Deployment
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MR Jet EvaluaAon
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Assessment of MR aVer Second Clip
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Assessment of gradient
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Double orifice
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Congenital Double Orifice Mitral Valve
UCDMC Oct 2012
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Percutaneous Repair of Anterior Leaflet PerforaAon
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Device Placement
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Paravalvular Leak Repair
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Iatrogenic ASD (iASD) AVer Transseptal Procedure
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AORTIC VALVE -‐ TAVR
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Imaging and TEE
• Annulus assessment prior to opening seal on valve.
• Baseline TEE (valves, funcAon, ?effusion, working views).
• Valve placement (secondary) • Ongoing assessment for complicaAons.
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RecogniAon of complicaAons
• Post-‐deployment – Hematoma – DissecAon – LV wall moAon abnormaliAes – Pericardial effusion – Paravalvular regurgitaAon – Unstable valve posiAon
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Pre and post post-‐dilaAon of AV
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Take Home Points
• TTE, TEE and ICE are all commonly used in the procedure lab.
• Think about where the imaging probe is relaAve to the procedure.
• Understanding the steps in the procedure will allow you to anAcipate the necessary views.
• Review imaging from previous procedures.
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QuesAons?
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