Echo Images Needed to Assess A Patient for TEER Procedure

All content copyright of Colorado State University 2022. Pre-operative evaluation for transapical edge-to-edge mitral valve repair (VClamp device).

Right parasternal long-axis 4-chamber view

  • 2D (optimized for LA and LV)
  • Color Doppler on MV (include entire LA) and TV
  • Zoomed image of MV
    • 2D
    • Color Doppler on zoomed image

Right parasternal long-axis inflow-outflow view

  • 2D
  • Color Doppler on MV

Right parasternal short-axis (LV at level of papillary muscles)

  • 2D
  • LV M-mode

Right parasternal short-axis (LV at level of mitral valve)

  • 2D
  • Color Doppler

Right parasternal short-axis (heart base – aorta and LA)

  • 2D

Subcostal view

Aortic flow velocity – PW Doppler at valve

Left parasternal apical four-chamber view

  • 2D
  • MV inflow velocities – PW Doppler
  • Color Doppler on MV and TV
    • MR CW Doppler
    • TR CW Doppler
  • Zoomed image of MV
    • 2D
    • Color Doppler on zoomed image

Left parasternal apical five-chamber (inflow/outflow, including aortic valve) view

  • 2D – This view is used to measure the mitral annulus for V Clamp device sizing
  • Color Doppler on MV (include entire LA)
  • Zoomed image of valve
    • 2D
    • Color Doppler on zoomed image

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