Current Usefulness of Transesophageal Echocardiography in Patients Undergoing Transcatheter Aortic Valve Replacement

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dc.contributor.authorAlberto de Agustín, José
dc.contributor.authorPozo Osinalde, Eduardo
dc.contributor.authorOlmos, Carmen
dc.contributor.authorMahia Casado, Patricia
dc.contributor.authorMarcos Alberca, Pedro
dc.contributor.authorLuaces Méndez, María
dc.contributor.authorGómez de Diego, José Juan
dc.contributor.authorNombela Franco, Luis
dc.contributor.authorJiménez Quevedo, Pilar
dc.contributor.authorTirado Conte, Gabriela
dc.contributor.authorCollado Yurrita, Luis Rodolfo
dc.contributor.authorFernández Ortiz, Antonio Ignacio
dc.contributor.authorPérez Villacastín Domínguez, Julián
dc.date.accessioned2024-04-24T12:28:09Z
dc.date.available2024-04-24T12:28:09Z
dc.date.issued2023-12-18
dc.description.abstractThis review article describes in depth the current usefulness of transesophageal echocardiography in patients who undergo transcatheter aortic valve replacement. Pre-intervention, 3D-transesophageal echocardiography allows us to accurately evaluate the aortic valve morphology and to measure the valve annulus, helping us to choose the appropriate size of the prosthesis, especially useful in cases where the computed tomography is not of adequate quality. Although it is not currently used routinely during the intervention, it remains essential in those cases of greater complexity, such as for patients with greater calcification and bicuspid valve, mechanical mitral prosthesis, and “valve in valve” procedures. Three-dimensional transesophageal echocardiography is the best technique to detect and quantify paravalvular regurgitation, a fundamental aspect to decide whether immediate valve postdilation is needed. It also allows to detect early any immediate complications such as cardiac tamponade, aortic hematoma or dissection, migration of the prosthesis, malfunction of the prosthetic leaflets, or the appearance of segmental contractility disorders due to compromise of the coronary arteries ostium. Transesophageal echocardiography is also very useful in follow-up, to check the proper functioning of the prosthesis and to rule out complications such as thrombosis of the leaflets, endocarditis, or prosthetic degeneration.
dc.description.departmentDepto. de Medicina
dc.description.facultyFac. de Medicina
dc.description.fundingtypeDescuento UCM
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationde Agustin, J.A.; PozoOsinalde, E.; Olmos, C.; MahiaCasado, P.; Marcos-Alberca, P.;Luaces, M.; Gomez de Diego, J.J.;Nombela-Franco, L.;Jimenez-Quevedo, P.; Tirado-Conte,G.; et al. Current Usefulness ofTransesophageal Echocardiographyin Patients Undergoing TranscatheterAortic Valve Replacement.J. Clin.Med.2023,12, 7748.https://doi.org/10.3390/jcm12247748
dc.identifier.doi10.3390/jcm12247748
dc.identifier.issn2077-0383
dc.identifier.officialurlhttps://doi.org/10.3390/jcm12247748
dc.identifier.relatedurlhttps://www.mdpi.com/2077-0383/12/24/7748
dc.identifier.urihttps://hdl.handle.net/20.500.14352/103439
dc.issue.number24 (nº articulo 7748)
dc.journal.titleJournal of Clinical Medicine
dc.language.isoeng
dc.page.final13
dc.page.initial1
dc.publisherMDPI
dc.rightsAttribution 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.cdu616.12
dc.subject.keywordAortic stenosis
dc.subject.keywordTransesophageal echocardiography
dc.subject.keywordTranscatheter aortic valve replacement
dc.subject.ucmCardiología
dc.subject.unesco3205.01 Cardiología
dc.titleCurrent Usefulness of Transesophageal Echocardiography in Patients Undergoing Transcatheter Aortic Valve Replacement
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number12
dspace.entity.typePublication
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