Perioperative echocardiographic evaluation standard for transapical transcatheter aortic valve replacement_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

DONG Lili ¹ , PENG Ying ² ,  SHU Xianhong ¹ ,  GUO Yingqiang ³ , Representatives of Writting Group of Echocardiographic Evaluation Standard for TA-TAVR

1. Department of Echocardiography, Zhongshan Hospital, Fudan University, Shanghai, 200032, P. R. China;
2. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding author：

SHU Xianhong, Email: shu.xianhong@zs-hospital.sh.cn; GUO Yingqiang, Email: drguoyq@hotmail.com

Keywords：

Transcatheter aortic valve replacement; transapical; echocardiography; perioperative evaluation

DOI：

10.7507/1007-4848.202306048

Video：

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Transcatheter aortic valve replacement (TAVR) has entered a new and critical stage after nearly 20 years of rapid development in China. There are various types of TAVR valves with different advantages. TAVR can be performed through various approaches such as transfemoral artery, transapical, trans-carotid artery, or trans-ascending aorta. The first two are more common. Echocardiography plays an important role in the perioperative period of TAVR. Compared to transfemoral approach, transapical TAVR has different key points in perioperative echocardiography which is lack of unified and accurate standards. This standard is specially formulated to focus on the key points of echocardiography in preoperative screening, intraoperative monitoring and postoperative follow-up in order to promote the safe and effective application of transapical TAVR in the clinic.

Citation： DONG Lili, PENG Ying, SHU Xianhong, GUO Yingqiang, Representatives of Writting Group of Echocardiographic Evaluation Standard for TA-TAVR. Perioperative echocardiographic evaluation standard for transapical transcatheter aortic valve replacement. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(8): 1075-1082. doi: 10.7507/1007-4848.202306048 Copy

1.	Otto CM, Kumbhani DJ, Alexander KP, et al. 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: A report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol, 2017, 69(10): 1313-1346.
2.	中国医师协会心血管内科医师分会结构性心脏病专业委员会. 中国经导管主动脉瓣置换术临床路径专家共识(2021版). 中国循环杂志, 2022, 37(1): 12-23.
3.	中华医学会超声医学分会超声心动图学组《经导管主动脉瓣置入术围术期超声心动图检查专家共识》写作组. 经导管主动脉瓣置入术围术期超声心动图检查专家共识. 中华超声影像学杂志, 2018, 27(2): 93-107.
4.	Wei L, Liu H, Zhu L, et al. A new transcatheter aortic valve replacement system for predominant aortic regurgitation implantation of the J-Valve and early outcome. JACC Cardiovasc Interv, 2015, 8(14): 1831-1841.
5.	Zhu L, Guo Y, Wang W, et al. Transapical transcatheter aortic valve replacement with a novel transcatheter aortic valve replacement system in high-risk patients with severe aortic valve diseases. J Thorac Cardiovasc Surg, 2018, 155(2): 588-597.
6.	Liu H, Yang Y, Wang W, et al. Transapical transcatheter aortic valve replacement for aortic regurgitation with a second-generation heart valve. J Thorac Cardiovasc Surg, 2018, 156(1): 106-116.
7.	Liu L, Chen S, Shi J, et al. Transcatheter aortic valve replacement in aortic regurgitation. Ann Thorac Surg, 2020, 110(6): 1959-1965.
8.	Shi J, Wei L, Chen Y, et al. Transcatheter aortic valve implantation with J-Valve: 2-year outcomes from a multicenter study. Ann Thorac Surg, 2021, 111(5): 1530-1536.
9.	Xue Y, Zhou Q, Li S, et al. Transapical transcatheter valve replacement using J-Valve for aortic valve diseases. Ann Thorac Surg, 2021, 112(4): 1243-1249.
10.	Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J, 2022, 43(7): 561-632.
11.	Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: Executive summary: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 2021, 143(5): e35-e71.
12.	Baumgartner H, Hung J, Bermejo J, et al. Recommendations on the echocardiographic assessment of aortic valve stenosis: A focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J Am Soc Echocardiogr, 2017, 30(4): 372-392.
13.	Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: A report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr, 2017, 30(4): 303-371.
14.	le Polain de Waroux JB, Pouleur AC, Goffinet C, et al. Functional anatomy of aortic regurgitation: Accuracy, prediction of surgical repairability, and outcome implications of transesophageal echocardiography. Circulation, 2007, 116(11 Suppl): I264-I269.
15.	Lindman BR, Dweck MR, Lancellotti P, et al. Management of asymptomatic severe aortic stenosis: Evolving concepts in timing of valve replacement. JACC Cardiovasc Imaging, 2020, 13(2 Pt 1): 481-493.
16.	Magne J, Cosyns B, Popescu BA, et al. Distribution and prognostic significance of left ventricular global longitudinal strain in asymptomatic significant aortic stenosis: An individual participant data meta-analysis. JACC Cardiovasc Imaging, 2019, 12(1): 84-92.
17.	Clavel MA, Burwash IG, Pibarot P. Cardiac imaging for assessing low-gradient severe aortic stenosis. JACC Cardiovasc Imaging, 2017, 10(2): 185-202.
18.	Blanke P, Weir-McCall JR, Achenbach S, et al. Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR): An expert consensus document of the Society of Cardiovascular Computed Tomography. JACC Cardiovasc Imaging, 2019, 12(1): 1-24.
19.	Jilaihawi H, Doctor N, Kashif 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): 908-916.
20.	Altiok E, Koos R, Schröder J, 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): 1578-1584.
21.	Smith LA, Dworakowski R, Bhan A, et al. Real-time three-dimensional transesophageal echocardiography adds value to transcatheter aortic valve implantation. J Am Soc Echocardiogr, 2013, 26(4): 359-369.
22.	Stella S, Italia L, Geremia G, et al. Accuracy and reproducibility of aortic annular measurements obtained from echocardiographic 3D manual and semi-automated software analyses in patients referred for transcatheter aortic valve implantation: Implication for prosthesis size selection. Eur Heart J Cardiovasc Imaging, 2019, 20(1): 45-55.
23.	Hahn RT, Nicoara A, Kapadia S, et al. Echocardiographic imaging for transcatheter aortic valve replacement. J Am Soc Echocardiogr, 2018, 31(4): 405-433.
24.	Kappetein AP, Head SJ, Généreux P, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: The Valve Academic Research Consortium-2 consensus document. Eur Heart J, 2012, 33(19): 2403-2418.
25.	Leon MB, Mack MJ, Hahn RT, et al. Outcomes 2 years after transcatheter aortic valve replacement in patients at low surgical risk. J Am Coll Cardiol, 2021, 77(9): 1149-1161.
26.	Sokalskis V, Muraru D, Fraccaro C, et al. Echocardiographic follow-up after transcatheter aortic valve replacement. Echocardiography, 2017, 34(2): 267-278.
27.	Koschutnik M, Dannenberg V, Nitsche C, et al. Right ventricular function and outcome in patients undergoing transcatheter aortic valve replacement. Eur Heart J Cardiovasc Imaging, 2021, 22(11): 1295-1303.

1. Otto CM, Kumbhani DJ, Alexander KP, et al. 2017 ACC expert consensus decision pathway for transcatheter aortic valve replacement in the management of adults with aortic stenosis: A report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents. J Am Coll Cardiol, 2017, 69(10): 1313-1346.
2. 中国医师协会心血管内科医师分会结构性心脏病专业委员会. 中国经导管主动脉瓣置换术临床路径专家共识(2021版). 中国循环杂志, 2022, 37(1): 12-23.
3. 中华医学会超声医学分会超声心动图学组《经导管主动脉瓣置入术围术期超声心动图检查专家共识》写作组. 经导管主动脉瓣置入术围术期超声心动图检查专家共识. 中华超声影像学杂志, 2018, 27(2): 93-107.
4. Wei L, Liu H, Zhu L, et al. A new transcatheter aortic valve replacement system for predominant aortic regurgitation implantation of the J-Valve and early outcome. JACC Cardiovasc Interv, 2015, 8(14): 1831-1841.
5. Zhu L, Guo Y, Wang W, et al. Transapical transcatheter aortic valve replacement with a novel transcatheter aortic valve replacement system in high-risk patients with severe aortic valve diseases. J Thorac Cardiovasc Surg, 2018, 155(2): 588-597.
6. Liu H, Yang Y, Wang W, et al. Transapical transcatheter aortic valve replacement for aortic regurgitation with a second-generation heart valve. J Thorac Cardiovasc Surg, 2018, 156(1): 106-116.
7. Liu L, Chen S, Shi J, et al. Transcatheter aortic valve replacement in aortic regurgitation. Ann Thorac Surg, 2020, 110(6): 1959-1965.
8. Shi J, Wei L, Chen Y, et al. Transcatheter aortic valve implantation with J-Valve: 2-year outcomes from a multicenter study. Ann Thorac Surg, 2021, 111(5): 1530-1536.
9. Xue Y, Zhou Q, Li S, et al. Transapical transcatheter valve replacement using J-Valve for aortic valve diseases. Ann Thorac Surg, 2021, 112(4): 1243-1249.
10. Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J, 2022, 43(7): 561-632.
11. Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: Executive summary: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 2021, 143(5): e35-e71.
12. Baumgartner H, Hung J, Bermejo J, et al. Recommendations on the echocardiographic assessment of aortic valve stenosis: A focused update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. J Am Soc Echocardiogr, 2017, 30(4): 372-392.
13. Zoghbi WA, Adams D, Bonow RO, et al. Recommendations for noninvasive evaluation of native valvular regurgitation: A report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr, 2017, 30(4): 303-371.
14. le Polain de Waroux JB, Pouleur AC, Goffinet C, et al. Functional anatomy of aortic regurgitation: Accuracy, prediction of surgical repairability, and outcome implications of transesophageal echocardiography. Circulation, 2007, 116(11 Suppl): I264-I269.
15. Lindman BR, Dweck MR, Lancellotti P, et al. Management of asymptomatic severe aortic stenosis: Evolving concepts in timing of valve replacement. JACC Cardiovasc Imaging, 2020, 13(2 Pt 1): 481-493.
16. Magne J, Cosyns B, Popescu BA, et al. Distribution and prognostic significance of left ventricular global longitudinal strain in asymptomatic significant aortic stenosis: An individual participant data meta-analysis. JACC Cardiovasc Imaging, 2019, 12(1): 84-92.
17. Clavel MA, Burwash IG, Pibarot P. Cardiac imaging for assessing low-gradient severe aortic stenosis. JACC Cardiovasc Imaging, 2017, 10(2): 185-202.
18. Blanke P, Weir-McCall JR, Achenbach S, et al. Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR): An expert consensus document of the Society of Cardiovascular Computed Tomography. JACC Cardiovasc Imaging, 2019, 12(1): 1-24.
19. Jilaihawi H, Doctor N, Kashif 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): 908-916.
20. Altiok E, Koos R, Schröder J, 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): 1578-1584.
21. Smith LA, Dworakowski R, Bhan A, et al. Real-time three-dimensional transesophageal echocardiography adds value to transcatheter aortic valve implantation. J Am Soc Echocardiogr, 2013, 26(4): 359-369.
22. Stella S, Italia L, Geremia G, et al. Accuracy and reproducibility of aortic annular measurements obtained from echocardiographic 3D manual and semi-automated software analyses in patients referred for transcatheter aortic valve implantation: Implication for prosthesis size selection. Eur Heart J Cardiovasc Imaging, 2019, 20(1): 45-55.
23. Hahn RT, Nicoara A, Kapadia S, et al. Echocardiographic imaging for transcatheter aortic valve replacement. J Am Soc Echocardiogr, 2018, 31(4): 405-433.
24. Kappetein AP, Head SJ, Généreux P, et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: The Valve Academic Research Consortium-2 consensus document. Eur Heart J, 2012, 33(19): 2403-2418.
25. Leon MB, Mack MJ, Hahn RT, et al. Outcomes 2 years after transcatheter aortic valve replacement in patients at low surgical risk. J Am Coll Cardiol, 2021, 77(9): 1149-1161.
26. Sokalskis V, Muraru D, Fraccaro C, et al. Echocardiographic follow-up after transcatheter aortic valve replacement. Echocardiography, 2017, 34(2): 267-278.
27. Koschutnik M, Dannenberg V, Nitsche C, et al. Right ventricular function and outcome in patients undergoing transcatheter aortic valve replacement. Eur Heart J Cardiovasc Imaging, 2021, 22(11): 1295-1303.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Perioperative echocardiographic evaluation standard for transapical transcatheter aortic valve replacement

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