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A New Transesophageal Echocardiography Guidance Protocol for Edge-to-Edge Repair of the Tricuspid Valve – The “Mainz Approach”
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  • Jaqueline da Rocha e Silva,
  • Tobias Ruf,
  • Michaela Hell,
  • Alexander Tamm,
  • Martin Geyer,
  • Thomas Munzel,
  • Ralph Stephan von Bardeleben,
  • Felix Kreidel
Jaqueline da Rocha e Silva
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
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Tobias Ruf
Universitätsmedizin Mainz
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Michaela Hell
University Hospital Center Mainz Department of Cardiology and Angiology
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Alexander Tamm
University Medical Centre of the Johannes Gutenberg University Mainz
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Martin Geyer
Universitätsmedizin Mainz
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Thomas Munzel
University of Mainz
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Ralph Stephan von Bardeleben
Universitätsmedizin Mainz
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Felix Kreidel
Universitätsmedizin Mainz
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Abstract

Intraprocedural transesophageal echocardiography (TEE) guidance plays an essential role in transcatheter repair therapy of the tricuspid valve (TV). So far, several different imaging concepts are in use. However, an imaging protocol that fully addresses the morphological complexity of the TV and further offers efficacious workarounds for the frequently occurring restrictions of TV imaging is still missing. As a tertiary referral center with a large experience of more than 250 cases of transcatheter edge-to-edge repair (TEER) of the TV performed at the Heart Valve Center in Mainz/Germany, we have constantly adapted our periinterventional echocardiographic approach to accomplish both. As a key measure for success, we intensely rely on the transgastric acoustic windows that not only delivers high-resolution information on the morphology of the TV and all relevant procedural steps but also help to avoid the frequent shadowing artefacts experienced in transesophageal imaging.

Peer review status:UNDER REVIEW

27 Apr 2021Submitted to Echocardiography
28 Apr 2021Assigned to Editor
28 Apr 2021Submission Checks Completed
05 May 2021Reviewer(s) Assigned
25 May 2021Review(s) Completed, Editorial Evaluation Pending