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Renuka Jain, Daniel P O’Hair, Tanvir K Bajwa, Denise Ignatowski, Daniel Harland, Amanda M Kirby, Tracy Hammonds, Suhail Q Allaqaband, Jonathan Kay, and Bijoy K Khandheria

Introduction Transcatheter aortic valve implantation (TAVI) traditionally has been supported by intraprocedural transoesophageal echocardiography (TOE). TOE has considerable uses during the TAVI procedure, including observation of and

Open access

Corstiaan A den Uil, Mihai Strachinaru, Ben van der Hoven, and J Han J Meeder

after corevalve transcatheter aortic valve implantation . Cardiovascular Ultrasound 14 37 . ( doi:10.1186/s12947-016-0080-5 ) 4 Kappetein AP Head SJ Genereux P Piazza N van Mieghem NM Blackstone EH Brott TG Cohen DJ

Open access

John Fryearson, Nicola C Edwards, Sagar N Doshi, and Richard P Steeds

Introduction Transcatheter aortic valve implantation (TAVI) is now firmly established as a treatment for symptomatic aortic stenosis (AS) in patients who cannot undergo or who are considered too high risk for conventional surgical aortic valve

Open access

Caroline Bleakley, Mehdi Eskandari, and Mark Monaghan

Background After the introduction of transcatheter aortic valve implantation (TAVI) has come the requisite debate as to how best to approach the imaging requirements of this technique. Performed via minimally invasive approaches without direct

Open access

Vasiliki Tsampasian, Vasileios Panoulas, Richard J Jabbour, Neil Ruparelia, Iqbal S Malik, Nearchos Hadjiloizou, Angela Frame MSc, Sayan Sen, Nilesh Sutaria, Ghada W Mikhail, and Petros Nihoyannopoulos

, Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery . New England Journal of Medicine 2010 363 1597 – 1607 . ( https://doi.org/10.1056/NEJMoa1008232 ) 10.1056/NEJMoa1008232 3 Kodali SK Williams MR Smith

Open access

Annari van Rensburg, Philip Herbst, and Anton Doubell

root dilatation ( 3 ), aorta coarctation ( 4 ) and the rare, but interesting, Shone complex ( 5 ). The therapeutic implications of BAV associations have come under renewed scrutiny in the era of transcatheter aortic valve implantation. The association

Open access

J Jose, K Randall, J Baron, and J Khoo

Summary

Transthoracic echocardiography (TTE) is widely used as a pre-operative screening tool. It can provide extensive information about cardiac function and underlying pathology, which could influence decisions regarding surgery. This patient was referred for TTE as part of pre-op screening, as he had a biological prosthetic aortic valve. This was a rare case where misleading TTE measurements inadvertently led to the patient being referred for transcatheter aortic valve implantation (TAVI), which delayed non-cardiac surgery.

Learning points:

  • Echocardiographers and referrers should be familiar with physiological and haemodynamic conditions that can affect measurements.

  • Echocardiographic results should be interpreted in wider clinical context, particularly when it changes management.

  • Lack of clinical information on the referral form limits echocardiographer’s ability to interpret results in clinical context.

  • Referring non-cardiologists may not be aware of haemodynamic factors that could affect echocardiographic measurements.

Open access

Mehdi Eskandari and Mark Monaghan

Transcatheter aortic valve implantation (TAVI) has undeniably revolutionised the field of interventional cardiology regarding the treatment of aortic stenosis (AS). With promising outcomes from the recently published PARTNER 2 trial ( 1

Open access

Dimitris Klettas, Emma Alcock, Rafal Dworakowski, Philip MacCarthy, and Mark Monaghan

and regional anaesthesia, with or without CS, or GA ( 1 ). Finally, Brecker et al . investigated the Impact of Anesthesia Type on Outcomes of Transcatheter Aortic Valve Implantation (from the Multicenter ADVANCE Study) with no statistically

Open access

Ines Sherifi, Alaa Mabrouk Salem Omar, Mithun Varghese, Menachem Weiner, Ani Anyanwu, Jason C Kovacic, Samin Sharma, Annapoorna Kini, and Partho P Sengupta

. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery . New England Journal of Medicine 2010 363 1597 – 1607 . ( https://doi.org/10.1056/NEJMoa1008232 ) 2 Smith CR Leon MB Mack MJ Miller DC Moses JW Svensson