Multivue reconstruction technique during mitral valve transcatheter edge-to-edge repair: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GUO Qiuzhe ¹ , ZHOU Yunfei ¹ , ZHU Da ² , WANG Shouzheng ^2,3 ,  LUO Zhiling ¹

1. Department of Ultrasonography, Yunnan Fuwai Cardiovascular Disease Hospital, Kunming, 650000, P. R. China;
2. Department of Structural Heart Disease, Yunnan Fuwai Cardiovascular Disease Hospital, Kunming, 650000, P. R. China;
3. Structural Heart Disease Center, National Center for Cardiovascular Diseases and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China;

Corresponding?author：

LUO Zhiling, Email: luozhl2@126.com

Keywords：

Transcatheter edge-to-edge repair; transesophageal echocardiography; intraoperative guidance; multiplanar reconstruction; case report

DOI：

10.7507/1007-4848.202309049

Video：

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Echocardiography is an important imaging technique in mithal valve transcatheter edge-to-edge repair (TEER). During the operation, mitral leaflets capture and clamping have the highest requirements for ultrasound image quality and should be performed under the guidance of high-quality commissural view. However, standard commissural view cannot be obtained in some patients due to cardiac enlargement, transposition or limited esophageal acoustic window. In this condition, the optimal view can be obtained by Multivue technology. This paper reports a male patient aged 67 years with successful mitral valve TEER under the real-time guidance of Multivue technology, and summarizes the key points of this technology.

Citation： GUO Qiuzhe, ZHOU Yunfei, ZHU Da, WANG Shouzheng, LUO Zhiling. Multivue reconstruction technique during mitral valve transcatheter edge-to-edge repair: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(10): 1517-1520. doi: 10.7507/1007-4848.202309049 Copy

1.	Stone GW, Abraham WT, Lindenfeld J, et al. Five-year follow-up after transcatheter repair of secondary mitral regurgitation. N Engl J Med, 2023, 388(22): 2037-2048.
2.	高漫辰, 段福建, 張戈軍, 等. 經導管緣對緣修復技術初步實踐: MitraClip治療二尖瓣反流多中心早期結果. 中國胸心血管外科臨床雜志, 2022, 29(5): 547-552.Gao MC, Duan FJ, Zhang GJ, et al. Primary practice of transcatheter edge-to-edge repair for mitral regurgitation: earlyresults of MitraClip in multiple centers. Chin J Clin Thorac Cardiovasc Surg, 2022, 29(5): 547-552.
3.	Doldi P, Stolz L, Orban M, et al. Transcatheter mitral valve repair in patients with atrial functional mitral regurgitation. JACC Cardiovasc Imaging, 2022, 15(11): 1843-1851.
4.	Hahn RT, Kodali SK. State-of-the-art intra-procedural imaging for the mitral and tricuspid PASCAL repair system. Eur Heart J Cardiovasc Imaging, 2022, 23(3): e94-e110.
5.	馮舒毅, 段福建, 張鳳文, 等. 單純超聲心動圖技術指導經皮二尖瓣緣對緣修復術的可行性探索. 中國循環雜志, 2023, 38(8): 815-819.Feng SY, Duan FJ, Zhang FW, et al. Feasibility exploration of transesophageal mitral valve edge-to-edge repair under transesophageal echocardiographic guidance solely. Chin Circ J, 2023, 38(8): 815-819.
6.	潘翠珍, 潘文志, 周達新, 等. 二尖瓣經導管緣對緣修復的超聲心動圖操作規范中國專家共識. 中國介入心臟病學雜志, 2022, 30(10): 721-733.Pan CZ, Pan WZ, Zhou DX, et al. Chinese expert consensus on echocardiographic operational procedure for transcatheter mitral valve edge-to-edge repair. Chin J Intervent Cardiol, 2022, 30(10): 721-733.
7.	Flint N, Price MJ, Little SH, et al. State of the art: transcatheter edge-to-edge repair for complex mitral regurgitation. J Am Soc Echocardiogr, 2021, 34(10): 1025-1037.
8.	Khalique OK, Hahn RT. Percutaneous mitral valve repair: multi-modality cardiac imaging for patient selection and intra-procedural guidance. Front Cardiovasc Med, 2019, 6: 142.
9.	Fan Y, Chan JSK, Lee AP. Advances in procedural echocardiographic imaging in transcatheter edge-to-edge repair for mitral regurgitation. Front Cardiovasc Med, 2022, 9: 864341.
10.	Geyer M, Sotiriou E, Tamm AR, et al. Advanced protocol for three-dimensional transesophageal echocardiography guidance implementing real-time multiplanar reconstruction for transcatheter mitral valve repair by direct annuloplasty. J Am Soc Echocardiogr, 2019, 32(10): 1359-1365.

1. Stone GW, Abraham WT, Lindenfeld J, et al. Five-year follow-up after transcatheter repair of secondary mitral regurgitation. N Engl J Med, 2023, 388(22): 2037-2048.
2. 高漫辰, 段福建, 張戈軍, 等. 經導管緣對緣修復技術初步實踐: MitraClip治療二尖瓣反流多中心早期結果. 中國胸心血管外科臨床雜志, 2022, 29(5): 547-552.Gao MC, Duan FJ, Zhang GJ, et al. Primary practice of transcatheter edge-to-edge repair for mitral regurgitation: earlyresults of MitraClip in multiple centers. Chin J Clin Thorac Cardiovasc Surg, 2022, 29(5): 547-552.
3. Doldi P, Stolz L, Orban M, et al. Transcatheter mitral valve repair in patients with atrial functional mitral regurgitation. JACC Cardiovasc Imaging, 2022, 15(11): 1843-1851.
4. Hahn RT, Kodali SK. State-of-the-art intra-procedural imaging for the mitral and tricuspid PASCAL repair system. Eur Heart J Cardiovasc Imaging, 2022, 23(3): e94-e110.
5. 馮舒毅, 段福建, 張鳳文, 等. 單純超聲心動圖技術指導經皮二尖瓣緣對緣修復術的可行性探索. 中國循環雜志, 2023, 38(8): 815-819.Feng SY, Duan FJ, Zhang FW, et al. Feasibility exploration of transesophageal mitral valve edge-to-edge repair under transesophageal echocardiographic guidance solely. Chin Circ J, 2023, 38(8): 815-819.
6. 潘翠珍, 潘文志, 周達新, 等. 二尖瓣經導管緣對緣修復的超聲心動圖操作規范中國專家共識. 中國介入心臟病學雜志, 2022, 30(10): 721-733.Pan CZ, Pan WZ, Zhou DX, et al. Chinese expert consensus on echocardiographic operational procedure for transcatheter mitral valve edge-to-edge repair. Chin J Intervent Cardiol, 2022, 30(10): 721-733.
7. Flint N, Price MJ, Little SH, et al. State of the art: transcatheter edge-to-edge repair for complex mitral regurgitation. J Am Soc Echocardiogr, 2021, 34(10): 1025-1037.
8. Khalique OK, Hahn RT. Percutaneous mitral valve repair: multi-modality cardiac imaging for patient selection and intra-procedural guidance. Front Cardiovasc Med, 2019, 6: 142.
9. Fan Y, Chan JSK, Lee AP. Advances in procedural echocardiographic imaging in transcatheter edge-to-edge repair for mitral regurgitation. Front Cardiovasc Med, 2022, 9: 864341.
10. Geyer M, Sotiriou E, Tamm AR, et al. Advanced protocol for three-dimensional transesophageal echocardiography guidance implementing real-time multiplanar reconstruction for transcatheter mitral valve repair by direct annuloplasty. J Am Soc Echocardiogr, 2019, 32(10): 1359-1365.

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