Transcatheter Tricuspid Repair With the Use of 4-Dimensional Intracardiac Echocardiography.

Robert L. Smith, M.D.
Davidson, C.J., Abramson, S., Smith, R.L., Kodali, S.K., Kipperman, R.M., Eleid, M.F., Reisman, M., Whisenant, B.K., Puthumana, J., Fowler, D., Grayburn, P.A., Hahn, R.T., Koulogiannis, K., Pislaru, S.V., Zwink, T., Minder, M., Deuschl, F., Feldman, T., Gray, W.A. and Lim, D.S. (2021). “Transcatheter Tricuspid Repair With the Use of 4-Dimensional Intracardiac Echocardiography.” JACC Cardiovasc Imaging Mar 10;S1936-878X(21)00153-4. [Epub ahead of print].
We report the systematic use of 4-dimensional intracardiac echocardiography (4D-ICE) as an intraprocedural imaging modality in transcatheter annular repair therapies. Twenty-six patients enrolled in the U.S. Food and Drug Administration–approved early feasibility study were analyzed to compare 4D-ICE and TEE. Results showed that 4D-ICE was predominantly used in the lateral annulus (Figures 2 and 3) and improved visualization compared with TEE. [No abstract; excerpt from article].