Structural Heart Disease

Structural heart diseases include any issues preventing normal cardiovascular function due to damage or alteration to the anatomical components of the heart. This is caused by aging, advanced atherosclerosis, calcification, tissue degeneration, congenital heart defects and heart failure. The most commonly treated areas are the heart valves, in particular the mitral and aortic valves. These can be replaced through open heart surgery or using cath lab-based transcatheter valves or repairs to eliminate regurgitation due to faulty valve leaflets. This includes transcatheter aortic valve replacement (TAVR). Other common procedures include left atrial appendage (LAA) occlusion and closing congenital holes in the heart, such as PFO and ASD. A growing area includes transcatheter mitral repair or replacement and transcatheter tricuspid valve repair and replacement.

Video of ASE President Stephen Little, MD, discussing trends in interventional echo at the ASE 2023 annual meeting.

Interventional echocardiography expected to grow thanks to new structural heart procedures

American Society of Echocardiography (ASE) President Stephen Little, MD, says there will be an increasing need for interventional echocardiographers in the near future.

device implantation during left atrial appendage occlusion (LAAO) procedures

Mitigating risk: How the depth of device implantation impacts LAAO outcomes

Researchers examined data from more than 1,300 procedures, presenting their findings in JACC: Cardiovascular Interventions.

Video of Rebecca Hahn, MD, explains the roles and economics of interventional echocardiographers. #ASE #ASE23 #Structuralheart #echofirst

Interventional echocardiographers play a key role in the treatment of structural heart disease

Rebecca Hahn, MD, examines the growing role of the dedicated interventional echocardiographer and how these imagers are paid.

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AI spots critical heart defects missed by the human eye

“If we can deploy our model on a population-level ECG screening, we would be able to pick up many more of these patients before they have irreversible damage,” a cardiologist behind the new study explained. 

Vienna Aortic Self-Expandable Transcatheter Valve premounted on the delivery system

New TAVR valve, premounted to save cardiologists time, linked to promising 30-day outcomes

The new valve arrives fully premounted on a delivery system and was designed to allow resheathing or complete recapture/redeployment if necessary. 

alternative approaches for transcatheter aortic valve replacement procedures

Alternative TAVR techniques: How to proceed when transfemoral access is not recommended

A team of researchers from the United States and Sweden explored data from nearly 12,000 TAVR patients for a new systematic review and meta-analysis. 

fasting before tavr or ablation

Relaxed fasting instructions prior to TAVR, other heart procedures do not affect outcomes

Fasting before major operations has been common in healthcare for nearly 80 years, but that has started to change since the turn of the century. 

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Surgeon sues hospital after being fired for discussing TAVR concerns with media

The vascular surgeon was fired after telling the media about a cardiologist who allegedly performed transcatheter aortic valve replacement without the proper credentials. He is now suing the hospital for wrongful termination and defamation.