Experts and Beginners Benefit from Three-Dimensional Echocardiography: A Multicenter Study on the Assessment of Mitral Valve Prolapse

Hien, Maximilian D.; Grossgasteiger, Manuel; Rauch, Helmut; Weymann, Alexander; Bekeredjian, Raffi; Rosendal, Christian

doi:10.1016/j.echo.2013.04.015

Cited by 22 publications

(15 citation statements)

References 24 publications

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“…Early diagnosis of RCT has great signi cance for treatment, which can save the patient's life. Long-term follow-up shows that patients with RCT and MR are more likely to use valve repair [15]. Valve repair has more advantages than valve replacement, such as lower mortality, higher long-term survival rate, lower risk of thrombus embolism and bleeding, better left ventricular systolic function after the operation.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Transthoracic Echocardiography and Transesophageal Echocardiography for Ruptured Chordae Tendineae: A Meta-Analysis

Liao

Dong

ZENG

et al. 2020

Preprint

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Background Echocardiography is significant for the diagnosis of ruptured chordae tendineae (RCT) for which transesophageal echocardiography (TEE) is always better than transthoracic echocardiography (TTE), but the diagnostic accuracy of TTE still remains confusing. Methods A meta-analysis of included papers was performed to evaluate the diagnostic accuracy of TTE and TEE, with surgical findings of RCT as the gold standard of patients with suspected RCT. Results The literature search yielded 862 papers, 6 met the inclusion criteria, included 505 patients, for detecting RCT, the sensitivity and specificity of TTE were 48% (95% CI: 35–62%) and 98% (95% CI: 89–100%), and those of TEE were 99% (95% CI: 64–100%) and 94% (95% CI: 87–98%), respectively. The summary + LR, -LR of TTE were 22.40 (95%CI: 4.89–102.62), 0.53(95%CI:0. 41–0.68), respectively. The summary + LR, -LR of TEE were 17.62(95%CI: 7.16–43.39), 0.02(95%CI:0. 00-0.57), respectively. For TTE, the area under SROC was 84% (95%CI:92%-96%),and that of TEE is 98%. The pooled + LR and -LR were calculated by setting the prior probabilities of 20% in both TTE and TEE. Conclusions TTE is not highly sensitive for the detection of RCT but is highly specific, so there is a potential of missing diagnosis, and subsequent TEE is almost required in highly suspected patients.

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Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Transthoracic Echocardiography and Transesophageal Echocardiography for Ruptured Chordae Tendineae: A Meta-Analysis

Liao

Dong

ZENG

et al. 2020

Preprint

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“…Indeed, the possibility of visualizing MV leaflets, commissures, MA calcifications and subvalvular structures from different and unique planes, from both the atrium or ventricle, with access to en face views, facilitates the understanding of this complex apparatus. Recently, Hien et al showed that both experienced and less well-trained echocardiographers achieved better results when using 3D TEE rather than traditional 2D TEE in the localization of MV prolapse and in the identification of ruptured chordae [14]. Furthermore, they demonstrated that the benefits of the additional dimension is greater in the less experienced echocardiographer, as the true-life en face display of the MV is self-explanatory and reduces the need for mental reconstruction and interpretation of multiple 2D planes.…”

Section: New Echocardiographic Methods For MV Evaluationmentioning

confidence: 97%

“…This advantage is even more evident when examining complex prolapse. Indeed, RT3D transthoracic echocardiography (TTE) and TEE allow the accurate morphological and functional assessment of the MV in its complexity, and recent data have demonstrated that 3D techniques are superior to the corresponding 2D approaches in the description of MV pathology [14][15][16]. In addition, as the accuracy of RT3D TTE is comparable to that of 2D TEE, this technique may be an invaluable additional tool to the standard 2D TTE examination.…”

Section: New Echocardiographic Methods For MV Evaluationmentioning

confidence: 98%

Advances in echocardiography: insights into the mitral valve and implications for surgical and percutaneous repair

Maffessanti¹,

Tamborini²,

Fusini³

et al. 2013

Interventional Cardiology

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“…They demonstrated that both expert and novice echocardiographers were able to provide more accurate descriptions of the MV prolapse with RT3D than with 2D TEE images, and this benefit was three times more important for inexperienced operators. [22]…”

Section: Methodsmentioning

confidence: 99%

Three-dimensional echocardiography: Advancements in qualitative and quantitative analyses of mitral valve morphology in mitral valve prolapse

Gripari

Muratori

Fusini

et al. 2014

J Cardiovasc Echography

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Degenerative mitral valve disease (MVD) is the leading cause of organic mitral regurgitation (MR), one of the most common valvular heart disease in western countries. Substantial progresses in the surgical treatment of degenerative MVD have improved life expectancy of patients with significant MR. However, prognosis, surgical decision and timing of surgery strongly depend on the accurate characterization of mitral valve (MV) anatomy and pathology and on the precise quantification of MR. Three-dimensional (3D) echocardiography, a major technological breakthrough in the field of cardiovascular imaging, provides several advantages over two-dimensional (2D) imaging in the qualitative and quantitative evaluations of MV apparatus. In this review, we focus on the contribution of this new modality to the diagnosis of degenerative MVD, the quantitative assessment of MR severity, the selection and monitoring of surgical and percutaneous procedures, the evaluation of procedural outcomes. The results of a systematic and exhaustive search of the existing literature, restricted to real-time 3D echocardiography in adults, are here reported.

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Experts and Beginners Benefit from Three-Dimensional Echocardiography: A Multicenter Study on the Assessment of Mitral Valve Prolapse

Cited by 22 publications

References 24 publications

Diagnostic Accuracy of Transthoracic Echocardiography and Transesophageal Echocardiography for Ruptured Chordae Tendineae: A Meta-Analysis

Diagnostic Accuracy of Transthoracic Echocardiography and Transesophageal Echocardiography for Ruptured Chordae Tendineae: A Meta-Analysis

Advances in echocardiography: insights into the mitral valve and implications for surgical and percutaneous repair

Three-dimensional echocardiography: Advancements in qualitative and quantitative analyses of mitral valve morphology in mitral valve prolapse

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