Hirasawa Kensuke, Izumo Masaki
Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.
Front Cardiovasc Med. 2022 Feb 2;9:815304. doi: 10.3389/fcvm.2022.815304. eCollection 2022.
Edge-to-edge transcatheter mitral valve repair (TMVr) using MitraClip has been evolving rapidly in patients with severe mitral regurgitation (MR) at high surgical risk or having contraindications for surgery. Three-dimensional (3D) echocardiography plays an important role in the management of severe MR. In particular, 3D transesophageal echocardiography (TEE) imaging allows the evaluation of MV geometry and quantification of MR severity with dedicated software. Real-time 3D TEE is also commonly used to guide TMVr and facilitate the procedure. Further development of 3D echocardiography may help achieve safer and more beneficial results. The following article summarizes the current knowledge and the future perspectives of 3D TEE in TMVr.
对于具有高手术风险或存在手术禁忌证的严重二尖瓣反流（MR）患者，使用MitraClip进行边对边经导管二尖瓣修复术（TMVr）发展迅速。三维（3D）超声心动图在严重MR的管理中发挥着重要作用。特别是，3D经食管超声心动图（TEE）成像可通过专用软件评估二尖瓣几何形状并量化MR严重程度。实时3D TEE也常用于指导TMVr并促进该手术。3D超声心动图的进一步发展可能有助于实现更安全、更有益的结果。以下文章总结了3D TEE在TMVr方面的当前知识和未来展望。
