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Echo-guided present...
Echo-guided presentation of the aortic valve minimises contrast exposure in transcatheter valve recipients
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- Baranowski, Jacek (author)
- Östergötlands Läns Landsting,Fysiologiska kliniken US
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- Ahn, Henrik (author)
- Östergötlands Läns Landsting,Linköpings universitet,Thoraxkirurgi,Hälsouniversitetet,Thorax-kärlkliniken i Östergötland
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- Freter, Wolfgang (author)
- Östergötlands Läns Landsting,Thorax-kärlkliniken i Östergötland
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- Nielsen, Niels-Erik (author)
- Östergötlands Läns Landsting,Linköpings universitet,Kardiologi,Hälsouniversitetet,Kardiologiska kliniken US
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- Nylander, Eva (author)
- Östergötlands Läns Landsting,Linköpings universitet,Klinisk fysiologi,Hälsouniversitetet,Fysiologiska kliniken US
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- Janerot-Sjöberg, Birgitta (author)
- Karolinska Institutet,Östergötlands Läns Landsting,Linköpings universitet,Biomedicinsk instrumentteknik,Tekniska högskolan,Fysiologiska kliniken US
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- Sandborg, Michael (author)
- Östergötlands Läns Landsting,Linköpings universitet,Medicinsk radiofysik,Hälsouniversitetet,Radiofysikavdelningen US
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- Wallby, Lars (author)
- Östergötlands Läns Landsting,Linköpings universitet,Kardiologi,Hälsouniversitetet,Fysiologiska kliniken US
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(creator_code:org_t)
- 2011-02-02
- 2011
- English.
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In: Catheterization and cardiovascular interventions. - : Wiley. - 1522-1946 .- 1522-726X. ; 77:2, s. 272-275
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- OBJECTIVES: We have developed a method using transthoracic echocardiography in establishing optimal visualization of the aortic root, to reduce the amount of contrast medium used in each patient. BACKGROUND: During transcatheter aortic valve implantation, it is necessary to obtain an optimal fluoroscopic projection for deployment of the valve showing the aortic ostium with the three cusps aligned in the beam direction. This may require repeat aortic root angiograms at this stage of the procedure with a high amount of contrast medium with a risk of detrimental influence on renal function. METHODS: We studied the conventional way and an echo guided way to optimize visualisation of the aortic root. Echocardiography was used initially allowing easier alignment of the image intensifier with the transducer's direction. RESULTS: Contrast volumes, radiation/fluoroscopy exposure times, and postoperative creatinine levels were significantly less in patients having the echo-guided orientation of the optimal fluoroscopic angles compared with patients treated with the conventional approach. CONCLUSION: We present a user-friendly echo-guided method to facilitate fluoroscopy adjustment during transcatheter aortic valve implantation. In our series, the amounts of contrast medium and radiation have been significantly reduced, with a concomitant reduction in detrimental effects on renal function in the early postoperative phase.
Subject headings
- TEKNIK OCH TEKNOLOGIER -- Medicinteknik -- Medicinsk bildbehandling (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Medical Engineering -- Medical Image Processing (hsv//eng)
Keyword
- aortic valve stenosis;heart valve prosthesis;transthoracic echocardiography
Publication and Content Type
- ref (subject category)
- art (subject category)
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