Key result
3D echocardiography outperforms 2D TTE in diagnostic accuracy and guidance for percutaneous pulmonary valve interventions.
Why the study?
Pulmonary valve disorders are increasingly encountered in adults, but standard 2D TTE yields excellent views in less than half of patients and challenges remain in obtaining high-quality images.
Does 3D echocardiography improve diagnostic accuracy and therapeutic guidance for pulmonary valve diseases compared to 2D TTE?
Does 3D echocardiography improve diagnostic accuracy and therapeutic guidance for pulmonary valve diseases compared to 2D TTE?
3D echocardiography enhances the visualization of the pulmonary valve, improving diagnostic accuracy and procedural guidance over standard 2D TTE.
The pulmonary valve (PV) has historically been ignored by imaging studies. Disorders of the PV encountered in adult cardiac patients are increasingly encountered due to advanced care of patients with congenital heart disease and associated PV diseases. Despite advances in PV imaging, multiple challenges remain when it comes to obtaining high quality PV images. While 2D TTE is the usual initial imaging tool for PV, excellent views of the PV annulus and its one or two leaflets are obtained in less than half of patients. The 3D echocardiography en face view allows all three leaflets to be evaluated concurrently, as well as assessments of the RV outflow tract and main pulmonary artery, which has improved quantitative assessment of PV diseases. Increasing image quality and experience with live/real time 3D TEE amplifies its utility in accurate evaluation and helps guide and monitor successful percutaneous PV interventions. 2D TTE remains the first line diagnostic tool; however, 3D TTE and 3D TEE provide better image quality which increases diagnostic accuracy and guidance to therapy. In this review article, we stress improvement in 3D echocardiography and its role in diagnostic and therapeutic options for PV diseases.
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Taşkesen et al. (2021) conducted a review in Pulmonary valve diseases. 3D echocardiography (3D TTE and 3D TEE) vs. 2D TTE was evaluated. Three-dimensional echocardiography (3D TTE and 3D TEE) provides better image quality than 2D TTE, increasing diagnostic accuracy and guidance for percutaneous pulmonary valve interventions.
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