ECHO 2013 / Interventional Echocardiography

State-of-the-Art Echo 2013

Interventional Echocardiography

Rebecca T. Hahn, MD

Associate Professor of Clinical Medicine

Director of Interventional Echocardiography

Columbia University

No Disclosures

Spectrum of structural heart disease.

„Structural heart disease‟ is a term first introduced by Martin Leon at the 1999

Transcatheter Cardiovascular Therapeutics meeting to provide an over-reaching term encompassing non-coronary cardiac disease processes and developing interventional techniques

Steinberg D H et al. Eur Heart J Suppl 2010;12:E2-E9

The Heart Team

Ideally, such a team would be comprised of the patient’s primary cardiologist, cardiac surgeon, interventional cardiologist,

Echo (2D and 3D) in Structural

Heart Disease

Real-time structural Imaging

Risk assessment pre-intervention

Real-time intra-procedural guidance

Post-procedural assessment

Echo (2D and 3D) in Structural

Heart Disease

Value of Echocardiographic Imaging

Improve procedural safety

Reduction in complications

Reduce radiation and contrast exposure

Improved outcomes

Assessment of procedural success

Predictors of long-term outcome

Consensus Statement

J Am Soc Echocardiogr 2011;24:937-65.)

Patient Selection: TTE and TEE (2D and 3D)

Peri-procedural echocardiography during transcatheter procedures

Post-implant

Structural Heart Disease in

the Cath Lab

Septal Closure

LAA occlusion

Alcohol septal ablation

Transcatheter AVR

 Percutaneous MV repair

Prosthetic Valve Dysfunction

Paravalvular Regurgitation

Prosthetic Valve Stenosis

Associated Anomalies: PAPVR