Use of 3 dimensional transesophageal echocardiography for mitral clip: Mitral clip extra cases

Mitral clip is an alternative therapy for patients with significant mitral regurgitation who are not candidates for mitral valve surgery. 3-D transesophageal echocardiogram is essential for baseline evaluation of mitral regurgitation as well as procedural guidance during mitral clip procedure. With further advancements in percutaneous procedures for management of structural heart disease, the importance of high quality imaging cannot be over emphasized. In complex mitral valve disease, anatomy cannot be fully appreciated by only 2-D echocardiography. 3-D echocardiography is essential for comprehensive evaluation of mitral valve anatomy and describing relation of catheters and devices involved in percutaneous procedures to anatomic structures in three dimensional space. 3-D modes such as X-plane imaging, live 3D imaging, 3-D zoom and color 3-D provide incremental information compared to 2-D echo. In addition 3-D TEE especially real time 3-D echo is essential for intra-procedural guidance during catheter based interventional procedures like mitral clip.

This course is designed for cardiologists, cardiac surgeons, anesthesiologists, sonographers and other medical providers involved in mitral clip procedure. This course will give a comprehensive overview of baseline evaluation of mitral regurgitation with special emphasis on candidacy for mitral clip procedure. This course will describe anatomy of mitral valve in both 2-D and 3-D imaging to help identify the etiology and mechanism of mitral regurgitation. This course will also describe step by step imaging involved in intra-procedural guidance of mitral clip procedure for management of mitral regurgitation. Case examples will be used to help illustrate comprehensive imaging necessary to approach different mitral valve pathologies treated with mitral clip procedure.