ECHO 2013 / Echocardiography in Congenital and Structural Heart Disease Assessment of Device – Repaired Patients

Echocardiography in Congenital

and Structural Heart Disease

Assessment of Device – Repaired Patients

Robert J. Sommer, MD

Columbia University Medical Center

New York, New York

Disclosure Statement of Financial Interest

Within the past 12 months, I or my spouse/partner have had a financial interest/arrangement or affiliation with the organization(s) listed below.

• CARDIOX Feasibility Trial (Cardiox)

Echo Assessment of Devices

Interventional Catheterization has improved patient outcomes in patients with structural and congenital heart disease:

Less invasive approach

Access to places the surgeon can’t easily reach

Avoids CP bypass in a potentially sick patient

Echo Assessment of Devices

Echocardiography plays a critical role in the selection of patients, guidance of many procedures, and in follow-up assessment of procedural results.

Echo Assessment of Devices

Intracardiac Devices – Ideal

Valve procedures

Septal defect closure procedures

LAA Closure procedures

Extracardiac Devices – Poor

PA Stents

Coarctation of the Aorta

PDA closure

Echo Assessment of Devices

Some procedures are critically “echodependent”

Structures not easily visible by fluoroscopy

Complex pathway to structures

Intervention result best assessed with echo

Echo Assessment of Devices

Post-procedure assessment

Assessing final result

Assuring device position

R/o procedural complications

Late follow-up studies

Assess late device function

Assess impact of change on the heart physiology