Key result
TEE is the preferred imaging modality to detect stroke-linked complex aortic plaques in AS.
Why the study?
Complex aortic plaques carry a high risk of stroke in aortic stenosis, particularly during valve replacement, and the use of TEE to detect them requires evaluation.
Does transesophageal echocardiography improve the detection of complex aortic plaques in patients with aortic stenosis?
Does transesophageal echocardiography improve the detection of complex aortic plaques in patients with aortic stenosis?
Answers are grounded in this paper and cite their sources.
Transesophageal echocardiography is a highly effective imaging modality for detecting complex aortic plaques in patients with aortic stenosis, which may help mitigate the high risk of stroke during percutaneous or surgical valve replacement.
Aortic stenosis is associated with aortic plaques in up to 85% of cases because they share risk factors and pathogenic pathways. Intrinsically, complex aortic plaques carry a high risk of stroke, which has also been demonstrated in the context of aortic stenosis, especially in patients who underwent percutaneous or surgical replacement. Transesophageal echocardiography (TEE) is the imaging test of choice to detect plaques in the thoracic aorta and classify them as complex plaques. Furthermore, the 3D modality allows us to better specify its dimensions and anatomical characteristics, such as added thrombi or the presence of ulcers inside. This review aims to evaluate the use of TEE to detect complex aortic plaques in patients with an indication for percutaneous or surgical aortic valve replacement. To highlight the association between aortic stenosis and complex aortic plaques, we attached to the review some TEE studies from our experience.
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Benites‐Yshpilco et al. (2024) conducted a review in Aortic stenosis and complex aortic plaques. Transesophageal echocardiography (TEE) was evaluated. Transesophageal echocardiography is the imaging modality of choice for detecting complex aortic plaques in patients with aortic stenosis, which are associated with a high risk of stroke.
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