Abstract
The success of mitral transcatheter edge-to-edge repair (mTEER) requires high fidelity intraprocedural transesophageal echocardiography (TEE) for optimal transeptal puncture guidance, device steering, and clip implantation. Patients with absolute or relative contraindications to TEE (eg, esophageal/gastric disease, cervical/thoracic spinal disease, and coagulopathies) have limited options. Previous case reports or single-center series have demonstrated the feasibility of volumetric intracardiac echocardiogram (vICE) to provide adjunctive imaging or as a means to guide the entire procedure.
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