Added Value of Interactive 3-D Stereo Vision Echocardiography in the Heart Valve Team: A Post Hoc Analysis for Optimal Decision Making in Patients With Mitral Valve Regurgitation

Izabela K Pisowodzka, Paul F Gründeman, Folkert Meijboom, Guido van Aarnhem, Ronald Meijer, Maarten J Cramer, Arco J Teske, Tycho van der Spoel, Annemieke Wind, Stefan Dieleman, Willem Suyker, Steven A J Chamuleau

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: We assessed the added value of advanced echocardiography post hoc analysis for optimal decision-making in the Heart Valve Team (HVT) using an interactive, dynamic, live visualization system with true three-dimensional (3-D) stereo vision.

METHODS: HVT scrutinized the incremental value of 3 consecutive methods of presentation of full-volume echocardiographic data sets in terms of diagnosis and possibility of repair in 11 selected patients having mitral regurgitation (MR)(Table 1). The questionnaire investigated consecutively (a) standard two-dimensional (2-D) transesophageal echocardiography, (b) single-beat 3-D zoom of the surgical view of the mitral valve, and (c) advanced 3-D volumetric rendering technology (Personal Space Station, Vesalius 3D software, PS-Medtech, Netherlands).

RESULTS: In 4 of 11 reviews (36%), single-beat 3-D zoom had additional value over 2-D echocardiography in terms of mechanism/adjustments or adjustment of confirmation of diagnosis. Single-beat 3-D zoom had no additional value over 2-D echocardiography in terms of proposal/probability of repair. In 7 out of 11 (64%) reviews, true stereo 3-D visualization had additional value in terms of mechanism of pathology compared to 2-D and 3-D zoom and in 5 out of 11 (45%) reviews in confirmation of diagnosis. In 3 out of 11 (27%) reviews, true stereo 3-D visualization had additional value in terms of proposal of repair and in 4 of 11 (36%) in probability of repair over 2-D and 3-D zoom.

CONCLUSIONS: Advanced easy-to-use true 3-D echocardiography limited differences in interpretation and strengthened the confidence in understanding the mechanisms and suitability for repair of mitral valve regurgitation, typically in more complex valve pathology.

Original languageEnglish
Pages (from-to)36-42
Number of pages7
JournalInnovations (Philadelphia, Pa.)
Volume15
Issue number1
Early online date7 Jan 2020
DOIs
Publication statusPublished - 1 Feb 2020

Keywords

  • diagnosis
  • echocardiography
  • mitral valve
  • three dimensional

Fingerprint

Dive into the research topics of 'Added Value of Interactive 3-D Stereo Vision Echocardiography in the Heart Valve Team: A Post Hoc Analysis for Optimal Decision Making in Patients With Mitral Valve Regurgitation'. Together they form a unique fingerprint.

Cite this