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      Multimodality Imaging in the Context of Transcatheter Mitral Valve Replacement: Establishing Consensus Among Modalities and Disciplines.

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          Abstract

          Transcatheter mitral valve implantation (TMVI) represents a promising approach to treating mitral valve regurgitation in patients at increased risk of perioperative mortality. Similar to transcatheter aortic valve replacement (TAVR), TMVI relies on pre- and periprocedural noninvasive imaging. Although these imaging modalities, namely echocardiography, computed tomography, and fluoroscopy, are well established in TAVR, TMVI has entirely different requirements. Approaches and nomenclature need to be standardized given the multiple disciplines involved. Herein we provide an overview of anatomical principles and definitions, a methodology for anatomical quantification, and perioperative guidance.

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          Author and article information

          Journal
          JACC Cardiovasc Imaging
          JACC. Cardiovascular imaging
          Elsevier BV
          1876-7591
          1876-7591
          Oct 2015
          : 8
          : 10
          Affiliations
          [1 ] St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
          [2 ] Columbia University Medical Center and Cardiovascular Research Foundation, New York, New York.
          [3 ] Baylor Heart and Vascular Institute, Dallas, Texas and Department of Internal Medicine, the Heart Hospital Baylor Plano, Plano, Texas.
          [4 ] Division of Cardiology, University of Washington Medical Center, Seattle, Washington.
          [5 ] Department of Medicine, Division of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada.
          [6 ] St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: jleipsic@providencehealth.bc.ca.
          Article
          S1936-878X(15)00590-2
          10.1016/j.jcmg.2015.08.004
          26481845

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