Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures

Widespread catheter-based interventions for structural heart disease have overtaken the treatment of paravalvular leaks (PVL). Multimodality imaging techniques play a crucial role in accurate diagnosis, procedure planning and performance. However, PVL closure is often technically challenging due to...

Full description

Bibliographic Details
Main Authors: Aleksejus Zorinas, Diana Zakarkaitė, Vilius Janušauskas, Donatas Austys, Lina Puodžiukaitė, Gitana Zuozienė, Robertas Stasys Samalavičius, Ieva Jovaišienė, Giedrius Davidavičius, Kęstutis Ručinskas, Eustaquio Maria Onorato
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/5/1328
_version_ 1797474708543766528
author Aleksejus Zorinas
Diana Zakarkaitė
Vilius Janušauskas
Donatas Austys
Lina Puodžiukaitė
Gitana Zuozienė
Robertas Stasys Samalavičius
Ieva Jovaišienė
Giedrius Davidavičius
Kęstutis Ručinskas
Eustaquio Maria Onorato
author_facet Aleksejus Zorinas
Diana Zakarkaitė
Vilius Janušauskas
Donatas Austys
Lina Puodžiukaitė
Gitana Zuozienė
Robertas Stasys Samalavičius
Ieva Jovaišienė
Giedrius Davidavičius
Kęstutis Ručinskas
Eustaquio Maria Onorato
author_sort Aleksejus Zorinas
collection DOAJ
description Widespread catheter-based interventions for structural heart disease have overtaken the treatment of paravalvular leaks (PVL). Multimodality imaging techniques play a crucial role in accurate diagnosis, procedure planning and performance. However, PVL closure is often technically challenging due to the complex anatomy of the defects and their relation to surrounding anatomical structures. The application of echocardiography and fluoroscopy imaging fusion (EFF) may simplify challenging imaginative three-dimensional reconstruction of the intracardiac anatomy and facilitate the procedure. To master new technology, personnel must make cognitive changes, overcome a learning curve, and obtain adequate theoretical knowledge. Main aim of this manuscript is to present basic recommendations for EFF application in practice, alongside, each scenario is supported by technically challenging clinical examples. We may conclude that our manuscript may provide useful information for physicians on EEF application in clinical practice.
first_indexed 2024-03-09T20:34:58Z
format Article
id doaj.art-680904994ff54d3a9f99963fae5a4e63
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T20:34:58Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-680904994ff54d3a9f99963fae5a4e632023-11-23T23:14:12ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-01115132810.3390/jcm11051328Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other ProceduresAleksejus Zorinas0Diana Zakarkaitė1Vilius Janušauskas2Donatas Austys3Lina Puodžiukaitė4Gitana Zuozienė5Robertas Stasys Samalavičius6Ieva Jovaišienė7Giedrius Davidavičius8Kęstutis Ručinskas9Eustaquio Maria Onorato10Clinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaDepartment of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, M. K. Čiurlionio 21/27, LT-03101 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Emergency Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaClinic of Cardiovascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Santariskiu 2, LT-08661 Vilnius, LithuaniaCentro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), University School of Milan, Via C. Parea 4, 20138 Milan, ItalyWidespread catheter-based interventions for structural heart disease have overtaken the treatment of paravalvular leaks (PVL). Multimodality imaging techniques play a crucial role in accurate diagnosis, procedure planning and performance. However, PVL closure is often technically challenging due to the complex anatomy of the defects and their relation to surrounding anatomical structures. The application of echocardiography and fluoroscopy imaging fusion (EFF) may simplify challenging imaginative three-dimensional reconstruction of the intracardiac anatomy and facilitate the procedure. To master new technology, personnel must make cognitive changes, overcome a learning curve, and obtain adequate theoretical knowledge. Main aim of this manuscript is to present basic recommendations for EFF application in practice, alongside, each scenario is supported by technically challenging clinical examples. We may conclude that our manuscript may provide useful information for physicians on EEF application in clinical practice.https://www.mdpi.com/2077-0383/11/5/1328paravalvular leakimaging fusionechocardiographyfluoroscopy
spellingShingle Aleksejus Zorinas
Diana Zakarkaitė
Vilius Janušauskas
Donatas Austys
Lina Puodžiukaitė
Gitana Zuozienė
Robertas Stasys Samalavičius
Ieva Jovaišienė
Giedrius Davidavičius
Kęstutis Ručinskas
Eustaquio Maria Onorato
Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures
Journal of Clinical Medicine
paravalvular leak
imaging fusion
echocardiography
fluoroscopy
title Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures
title_full Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures
title_fullStr Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures
title_full_unstemmed Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures
title_short Technical Recommendations for Real-Time Echocardiography and Fluoroscopy Imaging Fusion in Catheter-Based Mitral Valve Paravalvular Leak and Other Procedures
title_sort technical recommendations for real time echocardiography and fluoroscopy imaging fusion in catheter based mitral valve paravalvular leak and other procedures
topic paravalvular leak
imaging fusion
echocardiography
fluoroscopy
url https://www.mdpi.com/2077-0383/11/5/1328
work_keys_str_mv AT aleksejuszorinas technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT dianazakarkaite technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT viliusjanusauskas technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT donatasaustys technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT linapuodziukaite technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT gitanazuoziene technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT robertasstasyssamalavicius technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT ievajovaisiene technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT giedriusdavidavicius technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT kestutisrucinskas technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures
AT eustaquiomariaonorato technicalrecommendationsforrealtimeechocardiographyandfluoroscopyimagingfusionincatheterbasedmitralvalveparavalvularleakandotherprocedures