Modern ultrasound technologies and their application in surgical treatment of patients with cardial diseases and increased surgical risk. Treatment and prevention of complications, the main stages of endovascular interventions

Authors: Bogachevskaya S.A., Bogachevskiy A.N.

Company: 1 Federal Center for Cardiovascular Surgery, Khabarovsk, Russian Federation
2 Far Eastern State Medical University, Khabarovsk, Russian Federation
3 Sakhalin Regional Hospital, Yuzno-Sakhalinsk, Russian Federation

For correspondence:  Sign in or register.

Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2022-16-1-26-37

For citation: Bogachevskaya S.A., Bogachevskiy A.N. Modern ultrasound technologies and their application in surgical treatment of patients with cardial diseases and increased surgical risk. Treatment and prevention of complications, the main stages of endovascular interventions. Creative Cardiology. 2022; 16 (1): 26–37 (in Russ.). DOI: 10.24022/1997-3187-2022-16-1-26-37

Received / Accepted:  15.10.2021 / 25.03.2022

Keywords: echocardiography complicated cardiovascular diseases endovascular cardiac surgery high surgical risk

Subscribe 🔒

 

Abstract

Surgical risk in patients with complicated cardiovascular diseases increases significantly and becomes a serious issue in the treatment of such patients. The aim of endovascular interventions in such cases is to prevent the complications of open surgery. We review the most common types of endovascular interventions used in cases of prevention and correction of cardiovascular complications: postinfarction ventricular septal defect closure, left atrium appendage closure, paraprosthetic leak closure, ECHO-control at atrial septal puncture. Ultrasound support is carried out in preoperative, intraoperative, and postoperative stages for planned and urgent interventions. In emergency cases, ultrasound support and the selection of a suitable device are carried out only intraoperatively. Ultrasound support of the main stages of endovascular interventions allows to perform manipulations in such cases more confidently, and the development of new approaches in ultrasound visualization, such as intracardiac echocardiography, offers advantage convenience for operator, as well as the efficiency and safety of the patient treatment.

References

  1. Zeltyn’-Abramov E.M., Radzevich A.E. External myocardial rupture in acute phase of myocardial infarction: Clinical and instrumental predictors. Russian Journal of Cardiology. 2010; 2: 10–3 (in Russ.).
  2. BirnbaumY., Fishbein M.C., Blanche C., Siegel R.J. Ventricular septal rupture after acute myocardial infarction. N. Engl. J. Med. 2002; 347: 1426–32.
  3. Acute myocardial infarction with ST-segment elevation. Clinical recommendations of the Russian Society of Cardiology with the participation of the Association of Cardiovascular Surgeons of Russia. Moscow; 2020 (in Russ.).
  4. Kuzhel’ D.A., Matyushin G.V., Krasikov S.V., Pribytkova G.Yu., Kaleychik L.V., Fedorova T.D. et al. The interventricular septum rupture in acute myocardial infarction. Pervaya kraevaya (The first regional hospital). 2006. Available at: http://kkb-2.ru/wp-content/uploads/2013/09/Разрыв-межжелудочковойперегородки-при-остром-инфаркте-миокарда.pdf (accessed August 22, 2021) (in Russ.).
  5. Jeppsson A., Liden H., Johnsson P., Hartford M., Radegran K. Surgical repair of post infarction ventricular septal defects: a national experience. Eur. J. Cardiothorac. Surg. 2005; 27 (2): 216–21. DOI: 10.1016/j.ejcts.2004.10.037
  6. Deja M.A., Szostek J., Widenka K., Szafron B., Spyt T.J., Hickey M.J., Sosnowski A.W. Post infarction ventricular septal defect – can we do better? Eur. J. Cardiothorac. Surg. 2000; 18: 194–201. DOI.org/10.1016/s1010-7940(00)00482-6
  7. Helimskiy D.A., Krest’yaninov O.V., Osiev A.G., Shermuk A.A., Grankin D.S., Kretov E. I. et al. Endovascular treatment of postinfarction ventricular septal defects. Circulation Pathology and Cardiac Surgery (Patologiya Krovoobrashcheniya i Kardiokhirurgiya). 2016; 20 (2): 80–86 (in Russ.). DOI: 10.21688-1681-3472-2016-2-80-86
  8. Sukhov V.K., Shlojdo E.A., Shubenok D.A., Kravchenko K.P., Sergeev A.S., Igoshin S.D. Transcatheter closure of postinfarction ventricular septal defect using Amplatzer occlude. In: Proceedings of the 5th Russian Congress of Interventional Cardioangiologists. Moscow; 2013; 35: 75–6 (in Russ.).
  9. Vongpatanasin W., Hillis L.D., Lange R.A. Prosthetic heart valves. N. Engl. J. Med. 1996; 335: 407–16. DOI: 10.1056/nejm199608083350607.
  10. Genoni M., Franzen D., Vogt P., Seifert B., Jenni R., Künzli A. et al. Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur. J. Cardiothorac. Surg. 2000; 17: 14–9. DOI.org/10.1016/s1010- 7940(99)00358-9.
  11. De Cicco G., Russo C., Moreo A., Beghi C., Fucci C., Gerometta P., Lorusso R. Mitral valve periprosthetic leakage: Anatomical observations in 135 patients from a multicentre study. Eur. J. Cardiothorac. Surg. 2006; 30: 887–91. DOI: 10.1016/j.ejcts.2006.09.019.
  12. Rallidis L.S., Moyssakis I.E., Ikonomidis I., Nihoyannopoulos P. Natural history of early aortic paraprosthetic regurgitation: a five-year follow-up. Am. Heart. J. 1999; 138: 351–7. DOI: 10.1016/s0002-8703(99)70124-9.
  13. Pate G.E., Al Zubaidi A., Chandavimol M., Thompson R.C., Munt B.I., Webb J.G. Percutaneous closure of prosthetic paravalvular leaks: case series and review. Catheter Cardiovasc. Interv. 2006; 68: 528–33. DOI: 10.1002/ccd.20795.
  14. Davila-Roman V.G., Waggoner A.D., Kennard E.D., Holubkov R., Jamieson E.W.R., Englberger L. et al. Prevalence and severity of paravalvular regurgitation in the Artificial Valve Endocarditis Reduction Trial (AVERT) echocardiography study. J. Am. Coll. Cardiol. 2004; 44: 1467–72. DOI: 10.1016/j.jacc.2003.12.060
  15. Skopin I.I., Mironenko V.A., Aliev Sh.M. Surgical treatment for cardiac valve prosthetic fistulas of noninfectious genesis. Russian Journal of Thoracic and Cardiovascular Surgery. 2006; 4: 14–7 (in Russ.).
  16. Antunes M.J. Reoperation on cardiac valves. J. Heart Valve Dis. 1992; 1: 15–27.
  17. Taramasso M., Maisano F., Denti P., Guidotti A., Sticchi A., Pozzoli A. et al. Surgical treatment of paravalvular leak: Long-term results in a singlecenter experience (up to 14 years). J. Thorac. Cardiovasc. Surg. 2015; 149: 1270–5. DOI: 10.1016/j.jtcvs.2014.12.041.
  18. Gafur S., Franke J., Bertog S., Lam S., Vaskelyte L., Hofmann I. et al. Quick guide to paravalvular leak closure. Interv. Cardiol. Rev. 2015; 10 (2): 112–7. DOI: 10.15420/ICR.2015.10.2.112
  19. Piskunov S.A., Semenova M.R. The etiology of paraprosthetic leak development and the technologies of endovascular closure of paraprosthetic mitral leak. review of literature. International Journal of Interventional Cardioangiology. 2018; 52/53: 67–84 (in Russ.).
  20. Byrne J.G., Philips B.J., Cohn L.H. Reoperative valve surgery. Card. Surg. Adult. 2003; 2: 1047–51.
  21. Becerra J.M., Almeria C., de Isla L.P., Zamorano J. Usefulness of 3D transoesophageal echocardiography for guiding wires and closure devices in mitral perivalvular leaks. Eur. J. Echocardiogr. 2009; 10 (8): 979–81. DOI: 10.1093/ejechocard/jep098
  22. Cortes M., Garcia E., Garcia-Fernandez M.A., Gomez J.J., Perez-David E., Fernández-Avilés F. Usefulness of transesophageal echocardiography in percutaneous transcatheter repairs of paravalvular mitral regurgitation. Am. J. Cardiol. 2008; 101: 382–6. DOI: 10.1016/j.amjcard.2007.08.052.
  23. Michelena H.I., Della Corte A., Evangelista A., Maleszewski J.J. International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes. Ann. Thorac. Surg. 2021; 112 (3): 203–35. DOI: 10.1016/j.athoracsur.2020.08.119
  24. Piskunov S.A., Semenova M.R. Some principles and patterns revealed after endovascular closure of 31 paraprosthetic mitral leakages using mainly retrograde technique. International Journal of Interventional Cardioangiology. 2018; 52/53: 38–66 (in Russ.).
  25. Calvert P., Northridge D.B., Malik I.S. et al. Percutaneous Device closure of paravalvular leak. Combined experience from the United Kingdom and Ireland. Circulation. 2016; 134: 934–44. DOI: 10.1161/circulationaha.116.022684.
  26. Meier B., Blaauw Y., Khattab A.A., Lewalter T., Siever H., Tondo C., Glikson M. EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion. Europace. 2014; 16: 1397–416. DOI: 10.1093/europace/euu174
  27. Reddy V., Doshi S., Sievert H., Buchbinder M., Neuzil P., Huber K. et al. Percutaneous left atrial appendage closure for stroke prophylaxis in patients with atrial fibrillation: 2.3-year follow-up of the PROTECT AF (Watchman Left Atrial Appendage System for Embolic Protection in Patients With Atrial Fibrillation) Trial. Circulation. 2013; 127 (6): 720–9. DOI: 10.1161/circulationaha. 112.114389
  28. Pison L., Potpara T.S., Chen J., Larsen T.B., Bongiorni M.G., Blomström-Lundqvist C. Scienti-fic Initiative Committee, European Heart Rhythm Association. Left atrial appendage closure – indications, techniques, and outcomes: results of the European Heart Rhythm Association Survey. Europace. 2015; 17 (4): 642–6. DOI: 10.1093/europace/euv069
  29. De Ponti R., Cappato R., Curnis A. Trans-septal catheterization in the electrophysiology laboratory. Data from a multicenter survey spanning 12 years. J. Am. Coll. Cardiol. 2006; 47 (5): 1037–42. DOI: 10.1016/j.jacc.2005.10.046.
  30. Sapel'nikov O.V., Partigulova A.S., Saidova M.A., Akchurin R.S. The role of intracardiac echocardiography in clinical electrophysiology. Kardiologiia (Cardiology). 2015; 55 (1): 64–9. DOI: 10.18565/cardio.2015.1.64-69 (in Russ.).
  31. Bogachevskiy A.N. Efficacy of intracardiac echocardiography during radiofrequency catheter ablation of ventricular premature contractions. Vestnik Aritmologii (Bulletin of Arrhythmology). 2018; 92: 37–41. DOI: 10.25760/VA-2018-92-37-41 (in Russ.)
  32. Sánchez J.M., Yanics M.A., Wilson P., Doshi A., Kurian T., Pieper S. Fluoroless catheter ablation in adults: a single center experience. J. Interv. Card. Electrophysiol. 2016; 45: 199. DOI: 10.1007/s10840-015-0088-z

About Authors

  • Svetlana A. Bogachevskaya, Cand. Med. Sci., Functional and Ultrasonic Diagnostician, Cardiologist, ORCID
  • Aleksandr N. Bogachevskiy, Cardiovascular Surgeon, Functional Diagnostician, Head of Department, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery