Tricuspid TEER — Advanced Procedural Strategies-Imaging, Imaging, Imaging: TEE Pearls for T-TEER Planning and Procedural Guidance, Dr. Rhonda Miyasaka

Imaging, Imaging, Imaging: TEE Pearls for T-TEER Planning and Procedural Guidance, Dr. Rhonda Miyasaka

Video Transcription

Video Summary

Dr. Rhonda Rosenthal discusses transesophageal (TE) imaging techniques for tricuspid valve evaluation essential in tricuspid TEER procedures. She emphasizes the importance of optimizing 2D imaging before 3D multi-planar reconstruction (MPR) to understand valve anatomy, leaflet gaps, and device lead interference. Her approach includes key TE views—the long axis, commissural, and short axis—and the use of 3D MPR for precise procedural planning and intraprocedural guidance. Challenges include imaging complexity due to valve location and variable anatomy. Tips for transitioning from mitral to tricuspid imaging involve mastering 3D techniques, assessing multiple imaging windows, and allowing adequate optimization time during procedures.

Keywords

transesophageal imaging

tricuspid valve evaluation

TEER procedures

3D multi-planar reconstruction

imaging optimization