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Intraprocedural Guidance and Monitoring

  • Mara Gavazzoni
  • Alberto Pozzoli
  • Mizuki Miura
  • Edwin Ho
  • Maurizio Taramasso
  • André R. Plass
  • Philipp Haager
  • Hans Rickli
  • Michel Zuber
  • Francesco MaisanoEmail author
Chapter
  • 45 Downloads

Abstract

This chapter covers the fundamental aspects of intraprocedural imaging, related to the surgical replacement or repair of the aortic valve and its corresponding transcatheter, the TAVI.

Frequently, echocardiography in the operating room shows unexpected pathological findings, e.g. mitral valve diseases and other neglected conditions (undetected ventricular dysfunctions). The chapter covers step by step all the imaging related to this management. The correct diagnosis and visualization of intraoperative complications (aortic dissection, coronary occlusion, pericardial tamponade, myocardial infarction, etc.) are explained and discussed in detail.

The central role in this intraprocedural context is played mostly by echocardiography and by angiography, with inferences on the usefulness of intracardiac ultrasound in specific clinical scenarios. Moreover, application of other advanced imaging modalities, such as echo-fluoro fusion and computed tomography-fluoro imaging, are treated.

Keywords

Aortic valve Aortic stenosis Aortic regurgitation Intraoperative echocardiography Intracardiac echocardiography Angiography Fusion imaging Multimodality imaging Surgical aortic valve replacement Transcatheter aortic valve implantation 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Mara Gavazzoni
    • 1
  • Alberto Pozzoli
    • 1
  • Mizuki Miura
    • 1
  • Edwin Ho
    • 1
  • Maurizio Taramasso
    • 1
  • André R. Plass
    • 1
  • Philipp Haager
    • 2
  • Hans Rickli
    • 2
  • Michel Zuber
    • 3
  • Francesco Maisano
    • 1
    Email author
  1. 1.Heart Surgery UnitZurich University HospitalZurichSwitzerland
  2. 2.Cardiology UnitKantonsspital St. GallenSt. GallenSwitzerland
  3. 3.Cardiology UnitZurich University HospitalZurichSwitzerland

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