Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair
MitraClip (MC) is the most common percutaneous treatment for severe mitral regurgitation (MR). An accurate two-dimensional and three-dimensional echocardiographic (3DTEE) imaging is mandatory for the optimal procedural result. Recently transillumination 3DTEE rendering (3DTr) has been introduced int...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-06-01
|
| Series: | Journal of Cardiovascular Development and Disease |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3425/8/7/73 |
| _version_ | 1797528970994909184 |
|---|---|
| author | Gloria Tamborini Valentina Mantegazza Anna Garlaschè Manuela Muratori Laura Fusini Sarah Ghulam Ali Claudia Cefalù Gianpiero Italiano Paola Gripari Anna Maltagliati Marco Penso Mauro Pepi |
| author_facet | Gloria Tamborini Valentina Mantegazza Anna Garlaschè Manuela Muratori Laura Fusini Sarah Ghulam Ali Claudia Cefalù Gianpiero Italiano Paola Gripari Anna Maltagliati Marco Penso Mauro Pepi |
| author_sort | Gloria Tamborini |
| collection | DOAJ |
| description | MitraClip (MC) is the most common percutaneous treatment for severe mitral regurgitation (MR). An accurate two-dimensional and three-dimensional echocardiographic (3DTEE) imaging is mandatory for the optimal procedural result. Recently transillumination 3DTEE rendering (3DTr) has been introduced integrating a virtual light source into the dataset and with the addition of glass effect (3DGl) allows to adjust tissue transparency improving depth perception and anatomical structure delineation in comparison with the standard 3DTEE (3DSt). The aim of this retrospective study in 30 patients undergoing MC, was to compare 3DSt, 3DTr, and 3DGl in mitral valve (MV) evaluation and procedural result assessment. 3DTEE acquisitions obtained before and after MC were processed with 3DSt, 3DTr, and 3DGl rendering. Each reconstruction was scored for quality and for ability to recognize MV anatomy, MR origin, clip position, dimension and grasping. Imaging quality was judged good or optimal in 52%, 76%, and 96% in 3DSt, 3DTr, and 3DGl reconstructions respectively. In 26/30 patients a diagnostic incremental value was found with 3DTr vs. 3DSt and in 15/26 with 3DGl vs. 3DTr and 3DSt. Only 3DGl with perpendicular cropping of the clip allowed to visualize and measure the grasped portion of each mitral leaflets. 3DTEE imaging during MC may be improved by 3DTr and 3DGl providing a better evaluation of MV, of leaflet grasping and of residual MR jets after MC. |
| first_indexed | 2024-03-10T10:06:48Z |
| format | Article |
| id | doaj.art-b587dbf78554405e9cb67aef2e1f4230 |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-10T10:06:48Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-b587dbf78554405e9cb67aef2e1f42302023-11-22T01:29:42ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-06-01877310.3390/jcdd8070073Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve RepairGloria Tamborini0Valentina Mantegazza1Anna Garlaschè2Manuela Muratori3Laura Fusini4Sarah Ghulam Ali5Claudia Cefalù6Gianpiero Italiano7Paola Gripari8Anna Maltagliati9Marco Penso10Mauro Pepi11Centro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyCentro Cardiologico Monzino, IRCCS, 20138 Milan, ItalyMitraClip (MC) is the most common percutaneous treatment for severe mitral regurgitation (MR). An accurate two-dimensional and three-dimensional echocardiographic (3DTEE) imaging is mandatory for the optimal procedural result. Recently transillumination 3DTEE rendering (3DTr) has been introduced integrating a virtual light source into the dataset and with the addition of glass effect (3DGl) allows to adjust tissue transparency improving depth perception and anatomical structure delineation in comparison with the standard 3DTEE (3DSt). The aim of this retrospective study in 30 patients undergoing MC, was to compare 3DSt, 3DTr, and 3DGl in mitral valve (MV) evaluation and procedural result assessment. 3DTEE acquisitions obtained before and after MC were processed with 3DSt, 3DTr, and 3DGl rendering. Each reconstruction was scored for quality and for ability to recognize MV anatomy, MR origin, clip position, dimension and grasping. Imaging quality was judged good or optimal in 52%, 76%, and 96% in 3DSt, 3DTr, and 3DGl reconstructions respectively. In 26/30 patients a diagnostic incremental value was found with 3DTr vs. 3DSt and in 15/26 with 3DGl vs. 3DTr and 3DSt. Only 3DGl with perpendicular cropping of the clip allowed to visualize and measure the grasped portion of each mitral leaflets. 3DTEE imaging during MC may be improved by 3DTr and 3DGl providing a better evaluation of MV, of leaflet grasping and of residual MR jets after MC.https://www.mdpi.com/2308-3425/8/7/73three-dimensional transesophageal echocardiographytransesophageal echocardiographic monitoringmitral valve prolapsemitraClip procedure |
| spellingShingle | Gloria Tamborini Valentina Mantegazza Anna Garlaschè Manuela Muratori Laura Fusini Sarah Ghulam Ali Claudia Cefalù Gianpiero Italiano Paola Gripari Anna Maltagliati Marco Penso Mauro Pepi Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair Journal of Cardiovascular Development and Disease three-dimensional transesophageal echocardiography transesophageal echocardiographic monitoring mitral valve prolapse mitraClip procedure |
| title | Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair |
| title_full | Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair |
| title_fullStr | Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair |
| title_full_unstemmed | Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair |
| title_short | Head to Head Comparison between Different 3-Dimensional Echocardiographic Rendering Tools in the Imaging of Percutaneous Edge-to-Edge Mitral Valve Repair |
| title_sort | head to head comparison between different 3 dimensional echocardiographic rendering tools in the imaging of percutaneous edge to edge mitral valve repair |
| topic | three-dimensional transesophageal echocardiography transesophageal echocardiographic monitoring mitral valve prolapse mitraClip procedure |
| url | https://www.mdpi.com/2308-3425/8/7/73 |
| work_keys_str_mv | AT gloriatamborini headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT valentinamantegazza headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT annagarlasche headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT manuelamuratori headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT laurafusini headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT sarahghulamali headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT claudiacefalu headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT gianpieroitaliano headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT paolagripari headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT annamaltagliati headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT marcopenso headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair AT mauropepi headtoheadcomparisonbetweendifferent3dimensionalechocardiographicrenderingtoolsintheimagingofpercutaneousedgetoedgemitralvalverepair |