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The document summarizes highlights from the 2009 EuroEcho conference related to 3D echocardiography. It describes multiple sessions and presentations that discussed using 3D echo to reliably assess cardiac anatomy and function, including left ventricular size and function, left ventricular mass, strain, mitral valve disease, aortic root modeling, right ventricular size and function, tricuspid valve disease, and its use in transesophageal echocardiography and guiding cardiac catheterization procedures. The conclusion summarizes that 3D echo provides more accurate assessment of cardiac geometry and function than 2D echo and is an essential tool for evaluating valve disease and monitoring interventional cardiac procedures.
The document summarizes highlights from the 2009 EuroEcho conference related to 3D echocardiography. It describes multiple sessions and presentations that discussed using 3D echo to reliably assess cardiac anatomy and function, including left ventricular size and function, left ventricular mass, strain, mitral valve disease, aortic root modeling, right ventricular size and function, tricuspid valve disease, and its use in transesophageal echocardiography and guiding cardiac catheterization procedures. The conclusion summarizes that 3D echo provides more accurate assessment of cardiac geometry and function than 2D echo and is an essential tool for evaluating valve disease and monitoring interventional cardiac procedures.
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The document summarizes highlights from the 2009 EuroEcho conference related to 3D echocardiography. It describes multiple sessions and presentations that discussed using 3D echo to reliably assess cardiac anatomy and function, including left ventricular size and function, left ventricular mass, strain, mitral valve disease, aortic root modeling, right ventricular size and function, tricuspid valve disease, and its use in transesophageal echocardiography and guiding cardiac catheterization procedures. The conclusion summarizes that 3D echo provides more accurate assessment of cardiac geometry and function than 2D echo and is an essential tool for evaluating valve disease and monitoring interventional cardiac procedures.
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als PDF, TXT herunterladen oder online auf Scribd lesen
3D ECHOCARDIOGRAPHY Luigi P. Badano**, MD, FESC **Dr. Badano has received honoraries and research grants from GE Healthcare, Sorin cardio S.p.A., Actelion, Edwards Lifesciences *No off-label use of device The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Thursday 9th, Imaging Campus: 3D Echo and cardiac anatomy x 4 Thursday 9th, DICE Spanih: 3D Echo for guiding cath procedures Thursday 9th, Special Session: 3D Echo in congenital disease Friday 10 th, Imaging Campus: 3D Wall Motion Tracking x4 Friday 10th, Main Session: 3D Echo. A new dimension to assess the heart 1 Poster Session: 3D Echo is real 3D world 1 oral abstract Session: 3D Echo: a new window to the heart PROGRESS IN ULTRASOUND TECHNOLOGY 2D 3D 1D A-Mode M-Mode 1953 Edler & Hertz 2002 3D ECHO AT EUROECHO 2009 Reliable Assesment of LV Size and Function, by R. Lang Mean difference SD vs MRI RT3DE 2DE Jenkins 2004 EDV (ml) -49 -5433 ESV (ml) -318 -2828 EF (%) 07 -113 Caiani 2005 EDV (ml) -429 -2386 ESV (ml) -433 -1960 EF (%) -814 +416 Jacobs 2006 EDV (ml) -1417 -2329 ESV (ml) -716 -1524 EF (%) -16 19 3D ECHO AT EUROECHO 2009 Reliable Assesment of LV Mass, by A.S. Gopal Longitudinal Strain Circumferential Strain Radial Strain Area Strain 3D ECHO AT EUROECHO 2009 3D Strain, by H.J. Nesser 1 Apical Full-Volume Acquisition Calculation Time = 332 79 s Badano LP, et al. Data on file 3D ECHO AT EUROECHO 2009 Reliable Assesment of LV Size and Function The European Association of Echocardiography Hare JL et al. Heart 2008 3D ECHO AT EUROECHO 2009 Clinical Significance of Increased Accuracy, by M Monaghan 2D EF band 2D pts (no) Re-allocation by EF 35% Re-allocation by EF 40% 25% 32 2 (6%) 1 (3%) 26-35% 36 14 (39%) 5 (14%) 36-40% 13 1 (8%) 7 (54%) 41-45% 10 2 (20%) 5 (50%) > 45% 129 0 2 (2%) The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Mitral Valve Disease, by J. Hung Normal MItral Valve Atrial View P2 Prolapse Atrial View Anterior Leaflet Cleft 3D ECHO AT EUROECHO 2009 Mitral Valve Disease, by J. Hung The European Association of Echocardiography Mild MR Moderate MR Severe MR 3.6 cm 2 /0.19 cm 2 5.44 cm 2 /0.26 cm 2 6.98 cm 2 /0.37 cm 2 0.27 cm 2 0.19 cm 2 0.40 cm 2 PISA/ERO VC/ERO 3D ECHO AT EUROECHO 2009 Quantification of Mitral Regurgitation, by N. De Michelis The European Association of Echocardiography Real time 3D is feasible, accurate, and highly reproducible for assessing Mitral valve area . It has the best agreement with invasive technique. More accurate than 2D area, PHT, or PISA. 3D ECHO AT EUROECHO 2009 Mitral Valve Disease, by J. Hung The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Aortic Root and Valve Modelling, by M. Vannan The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Aortic Root and Valve Modelling, by M. Vannan 3D ECHO AT EUROECHO 2009 Right Ventricular Size and Function, by L. Sugeng The European Association of Echocardiography EDV= 77 ml ESV= 28 ml RVEF= 64% 3D ECHO AT EUROECHO 2009 Right Ventricular Size and Function, by L. Sugeng The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Tricuspid Valve Disease, by L.P. Badano Normal Tricuspid Valve VentricularView Tricuspid Valve Stenosis VentricularView Tricuspid Valve Area= 3.6 cm 2 1= 2.6 cm 2= 3,8 cm 3= 2.9 cm 1= 2.6 cm Badano LP, et al. Eur J Echocardiogr 2009 3D ECHO AT EUROECHO 2009 Tricuspid Valve Disease, by L.P. Badano 3D ECHO AT EUROECHO 2009 Transesophageal 3D Echo by RM Lang The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Transesophageal 3D Echo by RM Lang Normal St Jude Mitral Valve Endocarditis on Mitral Valve Prostheses The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 3D TEE Guiding Cath Procedures, by JL Zamorano TAVI Paraprosthetic devices ASD closure Mitral Clip The European Association of Echocardiography 3D ECHO AT EUROECHO 2009 Atrial Septal septum, by T. Lopez-Fernandez Atrial Septal Defect Patent Foramen Ovale More accurate and reproducible quantification of LV geometry and function than 2D; Unprecedented opportunity to quantify RV geometry and function; New way to assess pathology of valve diseases; Accurate and reproducible quantification of valve area in mitral and tricuspid stenosis; 3D TEE essential in monitoring interventional procedures in the cath lab. 3D ECHO AT EUROECHO 2009 Summary