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Intraprocedural Use of Echocardiography for TAVR

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Book cover Multimodality Imaging for Transcatheter Aortic Valve Replacement

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Abstract

Since the advent of transcatheter aortic valve replacement (TAVR) in 2002, more than 20,000 bioprosthetic valves have been deployed in patients with severe aortic stenosis (Jilaihawi, Catheter Cardiovasc Interv 80(1):128–38, 2012). Long-term clinical outcomes data from TAVR underscore the importance of adequately measuring the aortic annulus and having the ability to clearly visualize the relationship between the bioprosthetic valve, the native aortic valve, and surrounding anatomic structures. The development of 3D echocardiography has facilitated the ability to correctly measure the aortic valve annulus in multiple planes and aid in the deployment of the bioprosthetic valve in the catheterization laboratory. This chapter will describe the strengths and limitations of 3D TEE in assessing the aortic valve annulus and any other associated cardiac structures during TAVR.

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Author information

Authors and Affiliations

  1. Department of Cardiology, Cedars Sinai Medical Center, 8700 Beverly Blvd, Rm 5536B, Los Angeles, CA, 90048, USA

    Jorge Castellanos MD, MPP

  2. Department of Cardiology, Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, 8631 West 3rd St, Ste 415, Los Angeles, CA, 90048, USA

    Raj Makkar MD, FACC & Hasan Jilaihawi MD, MRCP

  3. Department of Cardiology, Cedars Sinai Medical Center, 8700 Beverly Blvd, Rm 523, Los Angeles, CA, 90048, USA

    Robert J. Siegel MD, FACC, FASE

Authors
  1. Jorge Castellanos MD, MPP
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  2. Raj Makkar MD, FACC
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  3. Hasan Jilaihawi MD, MRCP
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  4. Robert J. Siegel MD, FACC, FASE
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Corresponding author

Correspondence to Jorge Castellanos MD, MPP .

Editor information

Editors and Affiliations

  1. NewYork-Presbyterian Hospital, Weill Cornell Medical College, New York, New York, USA

    James K. Min

  2. Departments of Imaging and Medicine, David Geffen UCLA School of Medicine, Cedars-Sinai Medical Center Cedars-Sinai Heart Institute, Los Angeles, California, USA

    Daniel S. Berman

  3. Department of Cardiology, St. Paul’s Hospital, University of British Columbia Department of Radiology, Vancouver, British Columbia, Canada

    Jonathon Leipsic

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© 2014 Springer-Verlag London

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Castellanos, J., Makkar, R., Jilaihawi, H., Siegel, R.J. (2014). Intraprocedural Use of Echocardiography for TAVR. In: Min, J., Berman, D., Leipsic, J. (eds) Multimodality Imaging for Transcatheter Aortic Valve Replacement. Springer, London. https://doi.org/10.1007/978-1-4471-2798-7_33

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  • DOI: https://doi.org/10.1007/978-1-4471-2798-7_33

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2797-0

  • Online ISBN: 978-1-4471-2798-7

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