Can TAVR Be Effectively and Safely Performed Without Intraprocedural TEE?
Livia GheorgheJorn BrouwerAlejandro GutierrezBenno J W M RensingBushra S RanaJurrien M Ten BergFrank D EeftingLeo TimmersMartin J SwaansPublished in: Current cardiology reports (2020)
Transthoracic echocardiography and fluoroscopy are the primary imaging tools during TAVR. Several studies proved that TAVR under local anesthesia without TEE is as safe as that performed under TEE guidance. However, not all patients have a proper window for TTE, and particular cases with complex anatomy can benefit from TEE support during the intervention. Intraprocedural TEE no longer plays a crucial role in the TAVR procedure, but in some instances, it remains of great help to detect and avoid complications.
Keyphrases
- transcatheter aortic valve replacement
- aortic stenosis
- aortic valve
- ejection fraction
- end stage renal disease
- left ventricular
- randomized controlled trial
- newly diagnosed
- chronic kidney disease
- high resolution
- prognostic factors
- peritoneal dialysis
- risk factors
- pulmonary hypertension
- coronary artery disease
- heart failure