Key result
Transesophageal echocardiography has growing potential as an ancillary tool to guide percutaneous aortic interventions and document success, though its role is not yet well established.
Why the study?
The role of transesophageal echocardiography to guide percutaneous aortic interventions is not well established despite its growing potential.
Highlights the growing potential of transesophageal echocardiography as an ancillary tool to guide percutaneous aortic interventions.
Novel transcatheter proximal aortic interventions remain hypothesis-generating; prospective trials needed before any practice consideration.
Aortic pathologies in general require a multidisciplinary approach and decision-making to integrate elements of clinical acuity, vascular pathology, individual comorbidity, and risk assessment; thus, ideally it is a center with access to multiple imaging modalities and expertise in all treatment options. Besides classic open surgical options, endovascular procedures have been accepted for a variety of aortic pathologies. More recently, novel transcatheter interventions even to the proximal aorta have been introduced, particularly for patients unfit for open surgery. Nevertheless, the role of transesophageal echocardiography to guide percutaneous aortic interventions is not well established, notwithstanding the growing potential as an ancillary tool to guide the procedure and document success.
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Castro-Verdes et al. (2022) conducted a review in Aortic pathologies. Transesophageal echocardiography guidance was evaluated. Transesophageal echocardiography has growing potential as an ancillary tool to guide percutaneous aortic interventions and document success, though its role is not yet well established.
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