Role of 3D Transesophageal Echocardiography for Transcatheter Mitral Valve Repair-A Mini Review

Edge-to-edge transcatheter mitral valve repair (TMVr) using MitraClip has been evolving rapidly in patients with severe mitral regurgitation (MR) at high surgical risk or having contraindications for surgery. Three-dimensional (3D) echocardiography plays an important role in the management of severe MR. In particular, 3D transesophageal echocardiography (TEE) imaging allows the evaluation of MV geometry and quantification of MR severity with dedicated software. Real-time 3D TEE is also commonly used to guide TMVr and facilitate the procedure. Further development of 3D echocardiography may help achieve safer and more beneficial results. The following article summarizes the current knowledge and the future perspectives of 3D TEE in TMVr.

Automated summary

Edge-to-edge transcatheter mitral valve repair (TMVr) using MitraClip is rapidly evolving as a treatment option for patients with severe mitral regurgitation (MR) who are at high surgical risk or have contraindications for surgery. Three-dimensional (3D) echocardiography, particularly 3D transesophageal echocardiography (TEE), plays a crucial role in evaluating mitral valve geometry and quantifying the severity of MR with dedicated software. Real-time 3D TEE is commonly utilized for guidance during TMVr procedures. Further advancements in 3D echocardiography may lead to safer and more beneficial outcomes for patients undergoing TMVr.