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Echocardiography, 3D

Lasse Visby, Charlotte Burup Kristensen, Frederik Holm Grund Pedersen, Per Ejlstrup Sigvardsen, Klaus Fuglsang Kofoed, Christian Hassager, Rasmus Møgelvang
AIMS: Accurate echocardiographic assessment of left ventricular outflow tract (LVOT) and the aortic root is necessary for risk stratification and choice of appropriate treatment in patients with pathologies of the aortic valve and aortic root. Conventional 2D transthoracic echocardiographic (TTE) assessment is based on the assumption of a circular shaped LVOT and aortic root, although previous studies have indicated a more ellipsoid shape. 3D TTE and multidetector computed tomography (MDCT) applies planimetry and are not dependent on geometrical assumptions...
March 16, 2019: European Heart Journal Cardiovascular Imaging
Martina Nowak-Machen, Tobias Lang, Andreas Schilling, Lisa Mockenhaupt, Marius Keller, Peter Rosenberger, Harry Magunia
OBJECTIVES: In daily echocardiographic practice, the right ventricle (RV) is assessed using mostly 2-dimensional (2D) echocardiography. Parameters measuring longitudinal shortening (eg, tricuspid annular plane systolic excursion) or changes in areas (eg, fractional area change) are used as surrogates for right ventricular function. Three-dimensional (3D) echocardiography-based techniques allow for cardiac magnetic resonance imaging-validated assessment of the RV. Depiction of regional right ventricular function is of increasing clinical interest...
February 13, 2019: Journal of Cardiothoracic and Vascular Anesthesia
Jonas Jenner, Peder Sörensson, John Pernow, Kenneth Caidahl, Maria J Eriksson
Purpose: To evaluate the effect of image quality and contrast enhancement (CE) on left ventricular (LV) volume determination by two- (2D) and three-dimensional (3D) echocardiography (2DE/3DE). Methods: We studied 32 post-myocardial infarction (MI) patients without (2DE/3DE) and with CE (CE2DE/CE3DE), in comparison with cardiac magnetic resonance imaging (CMR). Results: Two-dimensional echocardiography showed the largest negative bias versus CMR for diastolic and systolic volumes (-59, -28 mL, respectively) with lower biases for CE2DE (-37, -22 mL), 3DE (-31, -17 mL), and CE3DE (-17, -11 mL)...
2019: Clinical Medicine Insights. Cardiology
Verena Veulemans, Shazia Afzal, Georgios Papadopoulos, Oliver Maier, Malte Kelm, Tobias Zeus, Katharina Hellhammer
Transcatheter aortic valve replacement (TAVR) is an emerging and a well-established procedure for high-risk and inoperable patients worldwide. Recent studies revealed furthermore that TAVR is equal or even superior to surgical valve replacement in intermediate risk patients. Therefore, a successful procedure is not only dependent on precise preprocedural patient selection but also on careful intraprocedural multimodal imaging guidance and adequate postprocedural follow-up. Up to date, 2D/3D transthoracic and/or transoesophageal echocardiography is an easy and goal-oriented tool for periprocedural TAVR-assessment regarding annulus measurements, cardiac function and concomitant valve diseases...
March 11, 2019: Acta Cardiologica
Sung-Hee Shin, Ji-Hoon Jang, Yong-Soo Baek, Sung-Woo Kwon, Sang-Don Park, Seong-Ill Woo, Dae-Hyeok Kim, Jun Kwan
INTRODUCTION: Variability of blood pressure (BP) has been reported to be related to worse cardiovascular outcomes. We examined the impact of daytime systolic BP variability on left ventricular (LV) function and arterial stiffness in hypertensive patients. METHODS: Ambulatory BP monitoring (ABPM) and echocardiography were performed in 116 hypertensive patients. We assessed BP variability as standard deviations of daytime systolic BP on 24-hour ABPM. Conventional echocardiographic parameters, area strain and 3D diastolic index (3D-DI) using 3D speckle tracking were measured...
March 11, 2019: Singapore Medical Journal
Attila Kovács, Bálint Lakatos, Márton Tokodi, Béla Merkely
Right ventricular (RV) function has proven to be a prognostic factor in heart failure with reduced and preserved ejection fraction and in pulmonary hypertension. RV function is also a cornerstone in the management of novel clinical issues, such as mechanical circulatory support devices or grown-up congenital heart disease patients. Despite the notable amount of circumferentially oriented myofibers in the subepicardial layer of the RV myocardium, the non-longitudinal motion directions are often neglected in the everyday assessment of RV function by echocardiography...
March 9, 2019: Heart Failure Reviews
Vivian Wing-Yi Li, Anthony Pak-Yin Liu, Edwina Kam-Fung So, Karin Kar-Huen Ho, Jeffrey Ping-Wa Yau, Daniel Ka-Leung Cheuk, Yiu-Fai Cheung
We aimed to interrogate sex differences in cardiac mechanics using two-(2D) and three-(3D) dimensional speckle tracking echocardiography (STE) in survivors of childhood cancers. 83 survivors (43 males) aged 25.6 ± 6.1 years at 16.0 ± 6.1 years after anthracycline therapy and 42 healthy controls (21 males) were studied. 2D STE was performed to assess LV linear deformation in three principal directions, while 3D STE was performed to assess LV ejection fraction, global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS), and global area strain (GAS)...
March 8, 2019: International Journal of Cardiovascular Imaging
Denisa Muraru, Rebecca T Hahn, Osama I Soliman, Francesco F Faletra, Cristina Basso, Luigi P Badano
Tricuspid regurgitation (TR) is an independent predictor of death. Lately, emerging technologies for the treatment of TR have increased the interest of physicians. Due to the complex 3-dimensional (3D) geometry of the tricuspid valve (TV) and its anterior position in the mediastinum, conventional 2D echocardiography is unsuitable to study the anatomy and pathophysiologic mechanisms of the regurgitant TV. 3D echocardiography has emerged as a very cost-effective imaging modality with which to: 1) visualize the TV anatomy; 2) define the mechanism of TR; 3) measure the size and geometry of the tricuspid annulus; 4) analyze the anatomic relationships between TV apparatus and surrounding cardiac structures; 5) assess volumes and function of the right atrium and ventricle; and 6) plan surgical repair or guide and monitor transcatheter interventional procedures...
March 2019: JACC. Cardiovascular Imaging
Eleonora Avenatti, G Burkhard Mackensen, Kinan Carlos El-Tallawi, Mark Reisman, Lara Gruye, Colin M Barker, Stephen H Little
OBJECTIVES: The authors sought to define the feasibility and performance of 3-dimensional (3D) vena contracta area (VCA) measurement in evaluating total residual mitral regurgitation (MR) following percutaneous edge-to-edge (E-EC) mitral valve repair. BACKGROUND: Residual MR severity after percutaneous repair is not only a determinant of procedural success, but also a major prognostic factor. To date, no single echocardiographic method has been recommended for post-procedural MR quantification, with the evaluation currently relying on a complex, multiparametric appraisal...
February 22, 2019: JACC. Cardiovascular Interventions
Alex V Nguyen, Andras Lasso, Hannah H Nam, Jennifer Faerber, Ahmed H Aly, Alison M Pouch, Adam B Scanlan, Francis X McGowan, Laura Mercer-Rosa, Meryl S Cohen, John Simpson, Gabor Fichtinger, Matthew A Jolley
BACKGROUND: Tricuspid regurgitation (TR) is a significant contributor to morbidity and mortality in patients with hypoplastic left heart syndrome. The goal of this study was to characterize the dynamic annular motion of the tricuspid valve in patients with HLHS with a Fontan circulation and assess the relation to tricuspid valve function. METHODS: Tricuspid annuli of 48 patients with HLHS with a Fontan circulation were modeled at end-diastole, mid-systole, end-systole, and mid-diastole using transthoracic three-dimensional echocardiography and custom code in 3D Slicer...
February 27, 2019: Journal of the American Society of Echocardiography
R C Fries, S G Gordon, A B Saunders, M W Miller, C D Hariu, D J Schaeffer
INTRODUCTION: The objective of the study was to evaluate the accuracy of two- and three-dimensional (2D, 3D) transthoracic echocardiography (TTE), 2D transesophageal echocardiography, and computed tomography angiography (CTA) compared with cardiac magnetic resonance imaging (CMR) in normal dogs and to assess repeatability of 2D and 3D TTE for the assessment of left ventricular (LV) and left atrial (LA) dimensions. ANIMALS: The study was performed on six healthy dogs...
February 2019: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
A B Saunders, K R Doocy, S A Birch
Patent ductus arteriosus (PDA) occlusion is one of the more common cardiovascular procedures performed in dogs. Two-dimensional imaging has been the primary method of visualizing the PDA and is the basis of its morphologic description. Transesophageal echocardiographic imaging has further characterized the three-dimensional (3D) variation in ductal morphology and shape (circle, oval). An accurate assessment of the shape and dimensions of a PDA in an individual dog is important when making decisions about definitive closure...
February 2019: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
Paul D Griffiths, Hatem A Mousa, Chloe Finney, Cara Mooney, Laura Mandefield, Timothy J A Chico, Deborah Jarvis
PURPOSE: To refine methods that assess structural brain abnormalities and calculate intracranial volumes in fetuses with congenital heart diseases (CHD) using in utero MR (iuMR) imaging. Our secondary objective was to assess the prevalence of brain abnormalities in this high-risk cohort and compare the brain volumes with normative values. METHODS: We performed iuMR on 16 pregnant women carrying a fetus with CHD and gestational age ≥ 28-week gestation and no brain abnormality on ultrasonography...
February 22, 2019: Neuroradiology
Jiwon Kim, Javid Alakbarli, Maria Chiara Palumbo, Lola X Xie, Lisa Q Rong, Nathan H Tehrani, Lillian R Brouwer, Richard B Devereux, Shing Chiu Wong, Geoffrey W Bergman, Omar K Khalique, Robert A Levine, Mark B Ratcliffe, Jonathan W Weinsaft
OBJECTIVES: To assess impact of left ventricular (LV) chamber remodeling on MitraClip (MClp) response. BACKGROUND: MitraClip is the sole percutaneous therapy approved for mitral regurgitation (MR) but response varies. LV dilation affects mitral coaptation; determinants of MClp response are uncertain. METHODS: LV and mitral geometry were quantified on pre- and post-procedure two-dimensional (2D) transthoracic echocardiography (TTE) and intra-procedural three-dimensional (3D) transesophageal echocardiography (TEE)...
February 21, 2019: Catheterization and Cardiovascular Interventions
Mengruo Zhu, Haiyan Chen, Zibire Fulati, Yang Liu, Yangang Su, Xianhong Shu
BACKGROUND: Three-dimensional (3D) speckle tracking imaging (STI) allows the simultaneous assessment of left ventricular (LV) strain and volume. We aim to explore the value of LV strain-volume loops in predicting response to cardiac resynchronization therapy (CRT). METHODS: Forty heart failure (HF) patients scheduled for CRT and twenty healthy individuals were enrolled. All subjects received a 3D echocardiography and 3D STI analysis to acquire LV global and segmental principal strain (PS) and volume simultaneously...
February 18, 2019: Cardiovascular Ultrasound
Jin Young Kim, Young Joo Suh, Kyunghwa Han, Young Jin Kim, Byoung Wook Choi
OBJECTIVES: This meta-analysis investigated the diagnostic values of transthoracic echocardiography (TTE), 2-dimensional (2D) and 3-dimensional (3D) transesophageal echocardiography (TEE), and multidetector-row computed tomography (MDCT) in patients with suspected mechanical prosthetic valve obstruction (PVO) for detecting subprosthetic mass and differentiating its causes. BACKGROUND: Diagnostic values of advanced imaging modalities, such as MDCT and TEE, for the detection and differentiation of PVO have not been investigated...
February 11, 2019: JACC. Cardiovascular Imaging
Gauravpal S Gill, Gaby Weissman, Yael F Meirovich, Diego Medvedofsky, Selma F Mohammed, Ron Waksman, Hector M Garcia-Garcia
BACKGROUND: Multi-detector gated cardiac computed tomography (CCT) allows three-dimensional (3D) quantification of cardiac chambers and is clinically indicated to assess left ventricular assist device (LVAD) malfunction and complications. Automated volumetric analysis is, however, disrupted by inflow cannula artifact in patients with LVAD. With this study, we evaluated intra-observer variability in semi-automated 3D cardiac volumetric analysis using CCT in patients with LVADs. METHODS: Ten clinically indicated CCTs were studied retrospectively from 9 patients with LVADs...
January 23, 2019: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Stefaan Bouchez, Frank Timmermans, Tine Philipsen, Katrien François, Thierry Bové
OBJECTIVES: The choice of annuloplasty device is fundamental at the time of mitral valve repair, the goal being to optimally restore the physiological 3-dimensional (3D) structure and dynamics of the mitral annulus (MA). This study evaluated MA dynamics after annuloplasty with 2 different semi-rigid devices. METHODS: Thirty-three patients eligible for mitral valve repair were selected for annuloplasty with the Physio II ring (Edwards Lifesciences, Irving, CA, USA) (n = 17) or the Memo 3D ring (LivaNova, Saluggia, Italy) (n = 16)...
February 15, 2019: European Journal of Cardio-thoracic Surgery
Miki Tsujiuchi, Takenori Yamauchi, Mio Ebato, Hideyuki Maezawa, Ayaka Nogi, Naoko Ikeda, Takuya Mizukami, Sakura Nagumo, Yoshitaka Iso, Toshio Nakadate, Akatsuki Kokaze, Hiroshi Suzuki
BACKGROUND: The prognostic value of indices for left atrial volumes (LAV) and reservoir function measured by 3D speckle-tracking analysis (3DSTA) has not been determined. Methods and Results: LA maximal and minimal volume indices (LAVImax, LAVImin), and LA emptying fraction (LAEmpF) were measured via 2D echocardiography (2DE) and 3DSTA in 514 patients (62% male, mean age: 66±15 years) with various cardiovascular diseases. Two cutoff values using normal±2SD (cutoff criterion 1) and receiver-operating characteristic analysis (cutoff criterion 2) were evaluated...
February 13, 2019: Circulation Journal: Official Journal of the Japanese Circulation Society
Martino Deidda, Christian Cadeddu Dessalvi, Selina Campus, Francesco Ortu, Paolo Piano, Pier Paolo Bassareo, Giuseppe Mercuro
Objective: Human immunodeficiency virus (HIV) infection may also be associated with cardiac dysfunction, thus negatively affecting patients' morbidity and mortality. This preliminary study aimed at evaluating whether bi-and three-dimensional (3D) strain echocardiographic facilities were able to identify alterations in the right ventricular (RV) function in highly selected - because free from cardiovascular risk factors and other comorbidities - HIV patients. Materials and Methods: Eight of these specific HIV patients (age: 32...
October 2018: Journal of Cardiovascular Echography
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