Key result
Three-dimensional echocardiography complements and enhances two-dimensional imaging for the assessment of tricuspid valve disease, improving evaluation accuracy and intraprocedural guidance.
Why the study?
Growing interest in transcatheter tricuspid interventions has highlighted the challenges of using 2D echocardiography alone to characterize variable tricuspid anatomy and pathology.
Does three-dimensional echocardiography improve the assessment and intraprocedural guidance of the tricuspid valve compared to two-dimensional echocardiography alone?
Does three-dimensional echocardiography improve the assessment and intraprocedural guidance of the tricuspid valve compared to two-dimensional echocardiography alone?
Three-dimensional echocardiography is an essential imaging modality that enhances the anatomical assessment and intraprocedural guidance for tricuspid valve interventions compared to 2D imaging alone.
May enhance tricuspid valve assessment accuracy; extends 2D imaging but leaves open outcome validation.
Tricuspid valve pathology is increasingly recognized as an important contributor to patient morbidity. Accordingly, interest in transcatheter interventions for tricuspid valve disease has continued to grow. Echocardiographic imaging of the tricuspid valve has therefore become an integral component of patient assessment and the essential imaging modality for interventional procedures. The need for improved tricuspid valve imaging has highlighted the variability in tricuspid valve anatomy and the difficulties of using two-dimensional (2D) echocardiography alone to determine the location and type of tricuspid valve disease. Here, three-dimensional (3D) imaging using tools such as biplane imaging, multiplanar reconstruction and live 3D acquisition allow a more accurate and efficient evaluation of the tricuspid valve. The 3D imaging of the tricuspid valve is often focused on transesophageal echocardiography, but the more anterior location of the tricuspid valve also lends itself to assessment with transthoracic echocardiography. In this review, we will examine how 3D imaging can complement and enhance the information obtained from 2D echocardiography, and present novel applications for the quantitation of valvular disease and its utility in intraprocedural imaging.
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Peters et al. (2020) conducted a review in Tricuspid valve disease. Three-dimensional echocardiography vs. Two-dimensional echocardiography was evaluated. Three-dimensional echocardiography complements and enhances two-dimensional imaging for the assessment of tricuspid valve disease, improving evaluation accuracy and intraprocedural guidance.
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