Structural Heart Imaging

With advancements in percutaneous procedures for management of structural heart disease, the importance of high quality imaging cannot be over emphasized. In complex structural heart disease, anatomy cannot be fully appreciated by only 2D echocardiography. 3D echocardiography is useful for comprehensive evaluation of anatomy and describing relation of catheters and devices involved in percutaneous procedures to anatomic structures in three dimensional space. In addition 3D TEE especially real time 3D echo is useful for intra-procedural guidance during catheter based interventional procedures.

This two-day course will explore the role of the echocardiographer within the structural heart team and discuss the importance of multimodality imaging for Structural Heart procedures. We will review TEE probe manipulation and anatomical landmarks. Participants will learn to utilize 2D, Doppler, and 3D TEE for TAVR, Mitraclip, PVL and ASD/PFO closure, left atrial appendage closure devices, and transseptal approach procedures. Participants will specially learn techniques for screening patients for these procedure, guiding these procedures in the hybrid OR and cath lab, and assessing patients for procedure success and complications post-procedure.