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ECHO 2013 / Transcatheter Aortic and Mitral Valve Replacement The Future is Now

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Positioning the Device

3D and 2D

Grasping the leaflets

2D (X-plane) with transcommissural and LVOT views

Assessing the valve after clip

placement

Imaging and Doppler

Atrial view

Atrial View

Mitral Stenosis

Grading severity Determining feasibility of valvuloplasty/repair

Echo Methods of Assessing

Mitral Stenosis

•Pressure gradient

–Interpreted in context of HR

•Mitral valve area

–Pressure half-time

–PISA

–Continuity Equation

–Planimetry