Transesophageal Echocardiography in Structural Heart Disease

Transesophageal Echocardiography in Structural Heart Disease

Experts in interventional echocardiography for transcatheter interventions for structural heart disease (SHD) are in high demand. Given the rapid development of new imaging technologies paired with the exponential expansion of novel interventional approaches and devices, an enormous educational need has been identified.

This case-based learning tool caters to this growing educational need of cardiologists, cardiac anesthesiologists, fellows, sonographers, and other individuals involved in procedural image guidance with transesophageal echocardiography (TEE). This product not only illustrates the utility of real-time two- and three-dimensional TEE in interventional echocardiography but also demonstrates the procedure-specific imaging needs in SHD. In addition, TEE in SHD reviews appropriate terminology to facilitate communication between the interventional echocardiographer and the operator. Due to its case-based nature, this product also highlights potential complications of percutaneous interventions in SHD and how to use TEE to provide safer and more efficacious care. Case categories include: Aortic Valve-in-Valve Replacement (TAVR, ViV); Atrial Septal Defect (ASD) Closure; LAA closure: WatchmanTM; LAA Occluder: AmuletTM Device; Mitral Paravalvular Leak Closure; Patent Foramen Ovale (PFO) Closure; Transcatheter Aortic Valve Replacement (TAVR); Transcatheter Mitral Valve Repair: MitraClip®; Transcatheter Mitral Valve Replacement (TMVR, ViV, BVP); Tricuspid Valve (ViV, TTVR); Ventricular Septal Defect (VSD) Closure. A total of 38 cases are presented. TEE in SHD will help to illustrate the important role of the interventional echocardiographer as a key member of the multi-disciplinary heart valve team.

Authors: Chair G. Burkhard Mackensen, MD, PhD, FASE; Rebecca Hahn, MD, FASE; Srdjan Jelacic, MD; Stephen Little, MD, FASE; Feroze Mahmood, MD, FASE; Mark Monaghan, PhD, FRCP (Hon), FESC, FACC; Muhamed Saric, MD, PhD, FASE; Douglas Shook, MD, FASE; Karen Zimmerman, BS, ACS, RDCS, RVT, FASE

Release Date: October 1, 2016

CME End Date: October 1, 2019

CME Credit: 15.0 credits, 15.0 ABIM MOC Points, 15.0 ABA Part 2 CME (Lifelong Learning and Self-Assessment) Credits

Speaker Disclosure: Douglas Shook, MD, FASE – Edwards Lifesciences (Education), Sorin Group (Education); Muhamed Saric, MD, PhD, FASE – Philips (Speaker/Speaker’s Bureau), Medtronic (Speaker/Speaker’s Bureau); Mark Monaghan, PhD, FRCP (Hon), FESC, FACC – Philips (Speaker/Speaker’s Bureau, Corporate Research Collaborative), Edwards (Speaker/Speaker’s Bureau, Corporate Research Collaborative); Stephen Little, MD, FASE – Abbott Structural Heart (Research Grant Support, including PI), Medtronic (Research Grant Support, including PI), Boston Scientific (Research Grant Support, including PI).

Commercial Support: None.

Activities Included:

TAVR Complicated by Post-TAVR PVL

Predicting Left Main Coronary Obstruction

Transcatheter Aortic Valve-in-Valve Procedure

Severe Annular Calcification in TAVR Patient

Complications of TAVR in LVAD Patient

A Common Complication of TAVR

TAVR and Paravalvular Leak

Severe Paravalvular Leak after TAVR

TAVR in a Bicuspid Aortic Valve

Transcatheter MV Repair with MitraClip

MitraClip for Primary Mitral Regurgitation

How many MitraClips are needed?

Percutaneous MV Repair for Chronic Primary MR

MitraClip Therapy Beyond A2/P2

Percutaneous MV Repair with MitraClip

Percutaneous MV Repair in Secondary MR

Transcatheter MV Replacement in Native Valve

Complications of Transcatheter Mitral ViV

Transcatheter Mitral Valve-in-Valve Procedure

Transcatheter Mitral Valve-in-Ring

Mitral Valve-in-Bioprosthetic Valve

Mitral Balloon Valvuloplasty

Closure of a PVL (Mitral)

Percutaneous Closure of a PVL

Successful Percutaneous Closure of PVL

TEE-Guided Closure of PVL (Mitral)

Transcatheter Tricuspid Valve-in-Valve

LAA Occlusion- TEE Guidance

LAA Occlusion with Watchman Device

Complication during LAA Occluder Implantation

Difficult LAA Occlusion with Watchman Device

Percutaneous Closure of an ASD

TEE Guidance for Closure of a VSD

TEE Guidance for Closure of an ASD

TEE Guidance for Closure of a PFO

Complex ASD Closure

Closure of an ASD - Role of 3D TEE

Closure of a VSD - Role of 3D TEE

Online CME Credit

Device List

Standard: $250.00
ASE Members: $175.00

 In Perioperative Care

In Perioperative Care

Description: This is a case-based, educational tool for anesthesiologists, cardiologists, fellows, surgeons, and other interested individuals currently performing and/or interpreting transesophageal echocardiography (TEE) for intraoperative procedures. Throughout the activity, surgical cases have been used to showcase the value of TEE in the perioperative setting. Topics include, but are not limited to: LV function, RV function, diseases of the aorta, aortic valve and root, LVOT (Including HCM), mitral valve stenosis, mitral valve regurgitation, tricuspid valve, atrial septum, and other intraoperative uses outside of monitoring and emergency diagnosis.

Authors: Madhav Swaminathan (Chair), Katherine Grichnik, Rebecca Hahn, G. Burkhard Mackensen, Feroze Mahmood, Sunil Mankad, Alina Nicoara, Kent Rehfeldt, Douglas Shook, Mark Taylor, Annette Vegas

CME & MOC credit expired for this course April 10, 2018.

Speaker Disclosures: Rebecca Hahn reported the following: Edwards Lifesciences (Core Lab); Philips Healthcare (Grant Support); Boston Scientific (Speaker/Speaker's Bureau); Boston Scientific (Speaker/Speaker's Bureau)

Commercial Support: None

Activities Included:


Case 1

Case 2

Case 3

Case 4

Case 4 - Continued

Case 5

Case 6

Case 6 Continued

Case 7

Case 8

Case 9

Case 10

Case 10 Continued

Case 11

Case 12

Case 13

Case 14

Case 15

Case 15 Continued

Case 16

Case 17

Case 18

Case 18 Continued

Case 19

Case 20

Case 21

Case 22

Case 23

Case 24

Case 25

Case 26

Case 27

Case 28

Case 29

Case 30

Case 30 - Continued

Case 31

Case 32

Case 33

Case 34

Case 35

Case 36

Case 37

Case 38

Case 39

Case 40

Case 40 Continued

Case 41

Case 42

Case 43

Case 44

Case 45

Standard: $95.00
ASE Members: $75.00