Assessment of Biventricular Function by Three-Dimensional Speckle-Tracking Echocardiography in Secondary Mitral Regurgitation after Repair with the MitraClip System

Vitarelli, Antonio; Madon, E; Capotosto, Lidia; Tanzilli, Gaetano; D'Angeli, Ilaria; Viceconte, Nicola; Placanica, Attilio; Placanica, Giuseppe; Cocco, Nino; Ashurov, Rasul; Al-Kindy, Suliman

doi:10.1016/j.echo.2015.04.005

Cited by 42 publications

(26 citation statements)

References 46 publications

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“…It was demonstrated that 2DSTE-derived LV global longitudinal strain may be useful to identify a maladaptive preloadrelated change associated with the risk for a substantial reduction in LVEF immediately following mitral valve repair (6,63,64). At present, few studies (62,65,66) have looked at the role of 3DSTE in patients with MR. In patients with MR with preserved LVEF, 3D area strain was shown to be an independent predictor of early symptoms or LV dysfunction (62).…”

Section: Mitral Valve Diseasesmentioning

confidence: 99%

Three-dimensional speckle-tracking echocardiography: benefits and limitations of integrating myocardial mechanics with three-dimensional imaging

Muraru¹,

Niero²,

Rodríguez‐Zanella³

et al. 2018

Cardiovasc. Diagn. Ther.

190

200

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Three-dimensional (3D) speckle-tracking echocardiography (3DSTE) is an advanced imaging technique designed for left ventricular (LV) myocardial deformation analysis based on 3D data sets. 3DSTE has the potential to overcome some of the intrinsic limitations of two-dimensional STE (2DSTE) in the assessment of complex LV myocardial mechanics, offering additional deformation parameters (such as area strain) and a comprehensive quantitation of LV geometry and function from a single 3D acquisition. Albeit being a relatively young technique still undergoing technological developments, several experimental studies and clinical investigations have already demonstrated the reliability and feasibility of 3DSTE, as well as several advantages of 3DSTE over 2DSTE. This technique has provided new insights into LV mechanics in several clinical fields, such as the objective assessment of global and regional LV function in ischemic and non-ischemic heart diseases, the evaluation of LV mechanical dyssynchrony, as well as the detection of subclinical cardiac dysfunction in cardiovascular conditions at risk of progression to overt heart failure. However, 3DSTE generally requires patient's breathhold and regular rhythm for enabling an ECG-gated multi-beat 3D acquisition. In addition, the measurements, normal limits and cut-off values pertaining to 3D strain parameters are currently vendor-specific and highly dependent on the 3D ultrasound equipment used. Technological advances with improvement in spatial and temporal resolution and a standardized methodology for obtaining vendor-independent 3D strain measurements are expected in the future for a widespread application of 3DSTE in both clinical and research arenas. The purpose of this review is to summarize currently available data on 3DSTE methodology (feasibility, accuracy and reproducibility), strengths and weaknesses with respect to 2DSTE, as well as the main clinical applications and future research priorities of this emerging technology.

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Section: Mitral Valve Diseasesmentioning

confidence: 99%

Three-dimensional speckle-tracking echocardiography: benefits and limitations of integrating myocardial mechanics with three-dimensional imaging

Muraru¹,

Niero²,

Rodríguez‐Zanella³

et al. 2018

Cardiovasc. Diagn. Ther.

190

200

View full text Add to dashboard Cite

show abstract

“…Two‐dimensional speckle tracking echocardiography (2DSTE) and real time full‐volume three‐dimensional echocardiography (RT3DE) are advanced methods that quantify myocardial function in a more objective, accurate, and reproducible way compared to standard echocardiographic imaging . Although these advanced methods have been used to assess LV function, to date they have not been used for the evaluation of LA functions in patients treated with MitraClip implantation …”

Section: Introductionmentioning

confidence: 99%

“…[8][9][10] Although these advanced methods have been used to assess LV function, to date they have not been used for the evaluation of LA functions in patients treated with MitraClip implantation. 11,12 Therefore, the objective of this study was to analyze LA function assessed by 2DSTE and RT3DE in patients with MR treated with percutaneous edge-edge mitral valve repair. Furthermore, we investigated whether baseline and/or changes in LA function after MitraClip had any impact on prognosis.…”

Section: Introductionmentioning

confidence: 99%

Left atrial remodeling in patients undergoing percutaneous mitral valve repair with the MitraClip system: an advanced echocardiography study

et al. 2016

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“…in this context, RT3D-STE showed lower post-procedural LV strain values in patients with worse preexisting right ventricular function as well as LV and right ventricular strain improvement after MitraClip implantation. 97,98 These findings suggest a potential prognostic role of RT3D-STE that may help in guiding treatment strategies on the basis of marked LV or RV impairment.…”

Section: Mitral Valvementioning

confidence: 89%

Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

Sorrentino¹,

Esposito²,

Pezzullo³

et al. 2016

RRCC

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Three-dimensional speckle tracking echocardiography (3D STE) is a novel technique for the quantification of cardiac deformation based on tracking of ultrasonic speckles in gray scale full-volume 3D images. Developments in ultrasound technologies have made 3D speckle tracking widely available. Two-dimensional echocardiography has intrinsic limitations regarding estimation of left ventricular (LV) volumes, ejection fraction, and LV mechanics, due to its inherent foreshortening errors and dependency on geometric models. The development of 3D echocardiography has improved reproducibility and accuracy. Data regarding the feasibility, accuracy, and clinical applications of 3D STE are rapidly assembling. From the tracking results, 3D STE derives several parameters, including longitudinal, circumferential and radial strain, as well as a combined assessment of longitudinal and circumferential strain, termed area strain. 3D STE can also quantify LV rotational movements such as rotation, twist, and torsion. 3D STE provides a better insight on global and regional myocardial deformation. Main applications include detection of subclinical myocardial involvement in heart failure, arterial hypertension, dyssynchrony, and ischemic heart disease. Emerging areas of application include a large spectrum of heart-involving systemic conditions, such as prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer, and deeper physiological understanding of LV contraction mechanics in different types of athletes. Aim of this review is to discuss background, technical acquisition and processing aspects as well as recognized and developing clinical applications of this emerging ultrasound technology.

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Assessment of Biventricular Function by Three-Dimensional Speckle-Tracking Echocardiography in Secondary Mitral Regurgitation after Repair with the MitraClip System

Cited by 42 publications

References 46 publications

Three-dimensional speckle-tracking echocardiography: benefits and limitations of integrating myocardial mechanics with three-dimensional imaging

Three-dimensional speckle-tracking echocardiography: benefits and limitations of integrating myocardial mechanics with three-dimensional imaging

Left atrial remodeling in patients undergoing percutaneous mitral valve repair with the MitraClip system: an advanced echocardiography study

Real-time three-dimensional speckle tracking echocardiography: technical aspects and clinical applications

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