Imaging modality-independent anatomy of the left heart: implications for left-sided transcatheter interventions_West China Medical Journal

Authors：

Thériault-Lauzier Pascal ,  Piazza Nicolò

Interventional Cardiology Department, McGill University Health Center, Glen Hospital/ Royal Victoria Hospital, 1001 Boulevard Décarie, Montréal, QC H4A 3J1, Canada;

Corresponding author：

Piazza Nicolò, Email: nicolopiazza@mac.com

Keywords：

Transcatheter interventions; Multislice computed tomography; Left-sided heart anatomy

DOI：

10.7507/1002-0179.201712151

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Interventional cardiologists have traditionally relied upon fluoroscopic imaging for percutaneous coronary interventions. Transcatheter structural heart interventions, however, require additional imaging modalities such as echocardiography and multislice computed tomography (MSCT) for pre-, intra- and post-procedural assistance. During transcatheter structural heart interventions, interventional cardiologists and non-invasive cardiovascular imagers may use different terminologies to describe a certain structure, thus causing misunderstandings within the team. Herein, we present a modality- independent terminology for understanding volumetric images in the context of transcatheter heart valve therapies. The goal of this system is to allow physicians to readily interpret the orientation of fluoroscopic, MSCT, echocardiographic and MRI images, thus generalising their understanding of cardiac anatomy to all imaging modalities.

Citation： Thériault-Lauzier Pascal, Piazza Nicolò. Imaging modality-independent anatomy of the left heart: implications for left-sided transcatheter interventions. West China Medical Journal, 2018, 33(2): 145-149. doi: 10.7507/1002-0179.201712151 Copy

1.	Kurra V, Kapadia SR, Tuzcu EM, et al. Pre-Procedural imaging of aortic root orientation and dimensions comparison between X-Ray angiographic planar imaging and 3-Dimensional multidetector row computed tomography. JACC Cardiovasc Interv, 2010, 3(1): 105-113.
2.	Leipsic J, Gurvitch R, Labounty TM, et al. Multidetector computed tomography in transcatheter aortic valve implantation. JACC Cardiovasc Imaging, 2011, 4(4): 416-429.
3.	Achenbach S, Delgado V, Hausleiter J, et al. SCCT expert consensus document on computed tomography imaging before transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR). J Cardiovasc Comput Tomogr, 2012, 6(6): 366-380.
4.	Holmes DR, Mack MJ, Kaul S, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol, 2012, 59(13): 1200-1254.
5.	Theriault-Lauzier P, Andalib A, Martucci GA, et al. Fluoroscopic anatomy of left-sided heart structures for transcatheter interventions insight from multislice computed tomography. JACC Cardiovasc Interv, 2014, 7(9): 947-957.
6.	Spaziano M, Theriault-Lauzier P, Meti N, et al. Optimal uoroscopic viewing angles of left-sided heart structures in patients with aortic stenosis and mitral regurgitation based on multislice computed tomography. J Cardiovasc Comput Tomogr, 2016, 10(2): 162-172.
7.	Piazza N, Mylotte D, Theriault LP. Fluoroscopic " heart chamber” anatomy-the case for imaging modality-independent terminology. EuroIntervention, 2016, 12(Y): Y9-Y15.
8.	Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging, 2015, 16(3): 233-270.
9.	Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr, 2013, 26(9): 921-964.
10.	Wharton G, Steeds R, Allen J, et al. A minimum dataset for a standard adult transthoracic echocardiogram: a guideline protocol from the British Society of Echocardiography. Echo Res Pract, 2015, 2(1): G9-G24.
11.	Picard MH, Adams D, Bierig SM, et al. American Society of Echocardiography recommendations for quality echocardiography laboratory operations. J Am Soc Echocardiogr, 2011, 24(1): 1-10.
12.	Anderson RH. Clinical anatomy of the aortic root. Heart, 2000, 84(6): 670-673.
13.	Piazza N, de Jaegere P, Schultz C, et al. Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv, 2008, 1(1): 74-81.

1. Kurra V, Kapadia SR, Tuzcu EM, et al. Pre-Procedural imaging of aortic root orientation and dimensions comparison between X-Ray angiographic planar imaging and 3-Dimensional multidetector row computed tomography. JACC Cardiovasc Interv, 2010, 3(1): 105-113.
2. Leipsic J, Gurvitch R, Labounty TM, et al. Multidetector computed tomography in transcatheter aortic valve implantation. JACC Cardiovasc Imaging, 2011, 4(4): 416-429.
3. Achenbach S, Delgado V, Hausleiter J, et al. SCCT expert consensus document on computed tomography imaging before transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR). J Cardiovasc Comput Tomogr, 2012, 6(6): 366-380.
4. Holmes DR, Mack MJ, Kaul S, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol, 2012, 59(13): 1200-1254.
5. Theriault-Lauzier P, Andalib A, Martucci GA, et al. Fluoroscopic anatomy of left-sided heart structures for transcatheter interventions insight from multislice computed tomography. JACC Cardiovasc Interv, 2014, 7(9): 947-957.
6. Spaziano M, Theriault-Lauzier P, Meti N, et al. Optimal uoroscopic viewing angles of left-sided heart structures in patients with aortic stenosis and mitral regurgitation based on multislice computed tomography. J Cardiovasc Comput Tomogr, 2016, 10(2): 162-172.
7. Piazza N, Mylotte D, Theriault LP. Fluoroscopic " heart chamber” anatomy-the case for imaging modality-independent terminology. EuroIntervention, 2016, 12(Y): Y9-Y15.
8. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging, 2015, 16(3): 233-270.
9. Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr, 2013, 26(9): 921-964.
10. Wharton G, Steeds R, Allen J, et al. A minimum dataset for a standard adult transthoracic echocardiogram: a guideline protocol from the British Society of Echocardiography. Echo Res Pract, 2015, 2(1): G9-G24.
11. Picard MH, Adams D, Bierig SM, et al. American Society of Echocardiography recommendations for quality echocardiography laboratory operations. J Am Soc Echocardiogr, 2011, 24(1): 1-10.
12. Anderson RH. Clinical anatomy of the aortic root. Heart, 2000, 84(6): 670-673.
13. Piazza N, de Jaegere P, Schultz C, et al. Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv, 2008, 1(1): 74-81.

Previous Article
Expansion of indications for transcatheter aortic valve replacement
Next Article
影像学手段通用的左心解剖：从左心经导管治疗谈起

West China Medical Journal

Imaging modality-independent anatomy of the left heart: implications for left-sided transcatheter interventions

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content