Transcatheter aortic valve implantation using FEops HEARTguide co-registration

Transcatheter aortic valve implantation (TAVI) success rate is very high and has a low rate of complications. Therefore, the number of TAVIs has been increasing worldwide. However, complications such as paravalvular leak (PVL) or permanent pacemaker implantation (PPMI) need still to be resolved, par...

Full description

Bibliographic Details
Main Authors: Pablo J. Antúnez-Muiños, Sergio López-Tejero, Jesús Herrero Garibi, Elena Díaz Peláez, Pedro Luis Sánchez Fernández, Ignacio Cruz-González
Format: Article
Language:English
Published: Permanyer 2023-05-01
Series:REC: Interventional Cardiology (English Ed.)
Online Access:https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=994
_version_ 1827950526332928000
author Pablo J. Antúnez-Muiños
Sergio López-Tejero
Jesús Herrero Garibi
Elena Díaz Peláez
Pedro Luis Sánchez Fernández
Ignacio Cruz-González
author_facet Pablo J. Antúnez-Muiños
Sergio López-Tejero
Jesús Herrero Garibi
Elena Díaz Peláez
Pedro Luis Sánchez Fernández
Ignacio Cruz-González
author_sort Pablo J. Antúnez-Muiños
collection DOAJ
description Transcatheter aortic valve implantation (TAVI) success rate is very high and has a low rate of complications. Therefore, the number of TAVIs has been increasing worldwide. However, complications such as paravalvular leak (PVL) or permanent pacemaker implantation (PPMI) need still to be resolved, particularly in younger patients. At this point, new technologies may help solve these problems. The FEops HEARTguide is a software that simulates the interaction between the device and patient’s anatomy (figure 1A,B). FEops provides the operator with different options and device sizes in a higher or deeper position (EVOLUT no. 26 and no. 29, Medtronic, United States), predicts the theoretical membranous septum, and the device contact pressure by analyzing the tissue characteristics of patient´s anatomy in the computed tomography (CT) images or risk of residual PVL or PPMI (figure 1C-H). Therefore, preoperative planning with FEops can be used to choose the most suitable size and device position for each patient. Figure 1. On the other hand, synchronized co-registration CT-fluoro has proven useful during TAVI. This is the first case ever performed worldwide using FEops image co-registration with live fluoroscopy in a TAVI procedure (figure 2, video 1 of the supplementary data; red circle: marks the membranous septum). However, no live...
first_indexed 2024-04-09T13:28:03Z
format Article
id doaj.art-f5992f9875d442ffacaf114edeab6cab
institution Directory Open Access Journal
issn 2604-7322
language English
last_indexed 2024-04-09T13:28:03Z
publishDate 2023-05-01
publisher Permanyer
record_format Article
series REC: Interventional Cardiology (English Ed.)
spelling doaj.art-f5992f9875d442ffacaf114edeab6cab2023-05-10T06:44:30ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222023-05-015216216310.24875/RECICE.M22000349Transcatheter aortic valve implantation using FEops HEARTguide co-registrationPablo J. Antúnez-Muiños0Sergio López-Tejero1Jesús Herrero Garibi2Elena Díaz Peláez3Pedro Luis Sánchez Fernández4Ignacio Cruz-González5Servicio de Cardiología, Hospital Universitario de Salamanca, Salamanca, Spain. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, SpainServicio de Cardiología, Hospital Universitario de Salamanca, Salamanca, Spain. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, SpainServicio de Cardiología, Hospital Universitario de Salamanca, Salamanca, Spain. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, SpainServicio de Cardiología, Hospital Universitario de Salamanca, Salamanca, Spain. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), SpainServicio de Cardiología, Hospital Universitario de Salamanca, Salamanca, Spain. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), SpainServicio de Cardiología, Hospital Universitario de Salamanca, Salamanca, Spain. Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), SpainTranscatheter aortic valve implantation (TAVI) success rate is very high and has a low rate of complications. Therefore, the number of TAVIs has been increasing worldwide. However, complications such as paravalvular leak (PVL) or permanent pacemaker implantation (PPMI) need still to be resolved, particularly in younger patients. At this point, new technologies may help solve these problems. The FEops HEARTguide is a software that simulates the interaction between the device and patient’s anatomy (figure 1A,B). FEops provides the operator with different options and device sizes in a higher or deeper position (EVOLUT no. 26 and no. 29, Medtronic, United States), predicts the theoretical membranous septum, and the device contact pressure by analyzing the tissue characteristics of patient´s anatomy in the computed tomography (CT) images or risk of residual PVL or PPMI (figure 1C-H). Therefore, preoperative planning with FEops can be used to choose the most suitable size and device position for each patient. Figure 1. On the other hand, synchronized co-registration CT-fluoro has proven useful during TAVI. This is the first case ever performed worldwide using FEops image co-registration with live fluoroscopy in a TAVI procedure (figure 2, video 1 of the supplementary data; red circle: marks the membranous septum). However, no live...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=994
spellingShingle Pablo J. Antúnez-Muiños
Sergio López-Tejero
Jesús Herrero Garibi
Elena Díaz Peláez
Pedro Luis Sánchez Fernández
Ignacio Cruz-González
Transcatheter aortic valve implantation using FEops HEARTguide co-registration
REC: Interventional Cardiology (English Ed.)
title Transcatheter aortic valve implantation using FEops HEARTguide co-registration
title_full Transcatheter aortic valve implantation using FEops HEARTguide co-registration
title_fullStr Transcatheter aortic valve implantation using FEops HEARTguide co-registration
title_full_unstemmed Transcatheter aortic valve implantation using FEops HEARTguide co-registration
title_short Transcatheter aortic valve implantation using FEops HEARTguide co-registration
title_sort transcatheter aortic valve implantation using feops heartguide co registration
url https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=994
work_keys_str_mv AT pablojantunezmuinos transcatheteraorticvalveimplantationusingfeopsheartguidecoregistration
AT sergiolopeztejero transcatheteraorticvalveimplantationusingfeopsheartguidecoregistration
AT jesusherrerogaribi transcatheteraorticvalveimplantationusingfeopsheartguidecoregistration
AT elenadiazpelaez transcatheteraorticvalveimplantationusingfeopsheartguidecoregistration
AT pedroluissanchezfernandez transcatheteraorticvalveimplantationusingfeopsheartguidecoregistration
AT ignaciocruzgonzalez transcatheteraorticvalveimplantationusingfeopsheartguidecoregistration