Abstract

Multimodality imaging is of imperative value for the planning and guidance of transcatheter mitral valve interventions. This review employs the value of different imaging modalities and future implications for clinical practice.

Highlights

  • Transcatheter mitral interventions (TMVI) have exceeded the expectations oftechnical progress over the last decade

  • Specific challenges include the large spectrum of underlying pathology, the multidimensional feature of mitral annulus, the interaction with the left ventricle and its outflow tract, the constantly raising number of different devices which are available on the market, and the prevention of thromboembolism

  • Most important TMVI challenges were the adaptation to the oval and saddle-shape MV geometry, the non-rigid nature of the mitral annulus, the need to anchor the prosthesis, the large variation in mitral annular size, and the risk of left ventricular (LV) outflow tract (LVOT) obstruction [4]

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Summary

Multimodality Imaging in Transcatheter Mitral Interventions

Evgenia Nikolou 1†, Rajdeep Bilkhu 2†, Tahir S. Kafil 3†, Camelia Demetrescu 4, Prasanti Alekhya Kotta 4, Gianluca Lucchese 2, Nikolaos Tzemos 3 and Julia Grapsa 4*. Reviewed by: Aphrodite Tzifa, Mitera Hospital, Greece Riccardo Liga, Pisana University Hospital, Italy. Specialty section: This article was submitted to Cardiovascular Imaging, a section of the journal

Frontiers in Cardiovascular Medicine
INTRODUCTION
The Existing Landscape of TMVI
MULTIMODALITY IMAGING
Transcatheter Mitral Valve Replacement and Paravalvular Leak Closure
Doppler measurements
COMPUTED TOMOGRAPHY AND CARDIAC MAGNETIC RESONANCE
Computed Tomography
Cardiovascular Magnetic Resonance
Gaps in Knowledge and Future Perspectives
Findings
Future Directions of Transcatheter Interventions
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