“…Obtaining additional information with ICE that may be difficult to evaluate by angiography, such as the presence of paravalvar leak, may also allow the interventionalist to address these issues immediately during the same procedure and prevent subsequent procedures. The use of ICE in Melody TPV implantation has been reported in isolated case report and case series [6,7], and, most recently, Awad et al [3] reported on the use of continuous ICE guidance during implantation of both the Melody and Edwards Sapien (Edwards Lifesciences, Irvine, CA) TPV. While anatomic and functional assessment of the pulmonary valve can be obtained easily by ICE [11,12], a comprehensive analysis of clinical utility in this population is lacking.…”