Multivue reconstruction technique during mitral valve transcatheter edge-to-edge repair: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GUO Qiuzhe ¹ , ZHOU Yunfei ¹ , ZHU Da ² , WANG Shouzheng ^2,3 ,  LUO Zhiling ¹

1. Department of Ultrasonography, Yunnan Fuwai Cardiovascular Disease Hospital, Kunming, 650000, P. R. China;
2. Department of Structural Heart Disease, Yunnan Fuwai Cardiovascular Disease Hospital, Kunming, 650000, P. R. China;
3. Structural Heart Disease Center, National Center for Cardiovascular Diseases and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China;

Corresponding author：

LUO Zhiling, Email: luozhl2@126.com

Keywords：

Transcatheter edge-to-edge repair; transesophageal echocardiography; intraoperative guidance; multiplanar reconstruction

DOI：

10.7507/1007-4848.202309049

Video：

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Echocardiography is an important imaging technique in transcatheter edge-to-edge mithal valve repair (TEER). During the operation, mitral leaflets capture and clamping have the highest requirements for ultrasound image quality and should be performed under the guidance of high-quality commissural view. However, standard commissural view cannot be obtained in some patients due to cardiac enlargement, transposition or limited esophageal acoustic window. In this condition, the optimal view can be obtained by Multivue technology. This paper reports a case of successful mitral valve TEER under the real-time guidance of Multivue technology, and summarizes the key points of this technology.

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2.	高漫辰, 段福建, 张戈军, 等. 经导管缘对缘修复技术初步实践: MitraClip治疗二尖瓣反流多中心早期结果. 中国胸心血管外科临床杂志, 2022, 29(5): 547-552.
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4.	Hahn RT, Kodali SK. State-of-the-art intra-procedural imaging for the mitral and tricuspid PASCAL repair system. Eur Heart J Cardiovasc Imaging, 2022, 23(3): e94-e110.
5.	冯舒毅, 段福建, 张凤文, 等. 单纯超声心动图技术指导经皮二尖瓣缘对缘修复术的可行性探索. 中国循环杂志, 2023, 38(8): 815-819.
6.	潘翠珍, 潘文志, 周达新, 等. 二尖瓣经导管缘对缘修复的超声心动图操作规范中国专家共识. 中国介入心脏病学杂志, 2022, 30(10): 721-733.
7.	Flint N, Price MJ, Little SH, et al. State of the art: Transcatheter edge-to-edge repair for complex mitral regurgitation. J Am Soc Echocardiogr, 2021, 34(10): 1025-1037.
8.	Khalique OK, Hahn RT. Percutaneous mitral valve repair: Multi-modality cardiac imaging for patient selection and intra-procedural guidance. Front Cardiovasc Med, 2019, 6: 142.
9.	Fan Y, Chan JSK, Lee AP. Advances in procedural echocardiographic imaging in transcatheter edge-to-edge repair for mitral regurgitation. Front Cardiovasc Med, 2022, 9: 864341.
10.	Geyer M, Sotiriou E, Tamm AR, et al. Advanced protocol for three-dimensional transesophageal echocardiography guidance implementing real-time multiplanar reconstruction for transcatheter mitral valve repair by direct annuloplasty. J Am Soc Echocardiogr, 2019, 32(10): 1359-1365.

1. Stone GW, Abraham WT, Lindenfeld J, et al. Five-year follow-up after transcatheter repair of secondary mitral regurgitation. N Engl J Med, 2023, 388(22): 2037-2048.
2. 高漫辰, 段福建, 张戈军, 等. 经导管缘对缘修复技术初步实践: MitraClip治疗二尖瓣反流多中心早期结果. 中国胸心血管外科临床杂志, 2022, 29(5): 547-552.
3. Doldi P, Stolz L, Orban M, et al. Transcatheter mitral valve repair in patients with atrial functional mitral regurgitation. JACC Cardiovasc Imaging, 2022, 15(11): 1843-1851.
4. Hahn RT, Kodali SK. State-of-the-art intra-procedural imaging for the mitral and tricuspid PASCAL repair system. Eur Heart J Cardiovasc Imaging, 2022, 23(3): e94-e110.
5. 冯舒毅, 段福建, 张凤文, 等. 单纯超声心动图技术指导经皮二尖瓣缘对缘修复术的可行性探索. 中国循环杂志, 2023, 38(8): 815-819.
6. 潘翠珍, 潘文志, 周达新, 等. 二尖瓣经导管缘对缘修复的超声心动图操作规范中国专家共识. 中国介入心脏病学杂志, 2022, 30(10): 721-733.
7. Flint N, Price MJ, Little SH, et al. State of the art: Transcatheter edge-to-edge repair for complex mitral regurgitation. J Am Soc Echocardiogr, 2021, 34(10): 1025-1037.
8. Khalique OK, Hahn RT. Percutaneous mitral valve repair: Multi-modality cardiac imaging for patient selection and intra-procedural guidance. Front Cardiovasc Med, 2019, 6: 142.
9. Fan Y, Chan JSK, Lee AP. Advances in procedural echocardiographic imaging in transcatheter edge-to-edge repair for mitral regurgitation. Front Cardiovasc Med, 2022, 9: 864341.
10. Geyer M, Sotiriou E, Tamm AR, et al. Advanced protocol for three-dimensional transesophageal echocardiography guidance implementing real-time multiplanar reconstruction for transcatheter mitral valve repair by direct annuloplasty. J Am Soc Echocardiogr, 2019, 32(10): 1359-1365.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesMultivue reconstruction technique during mitral valve transcatheter edge-to-edge repair: A case report

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