Open Access
CC BY 4.0 · Aorta (Stamford) 2022; 10(01): 003-012
DOI: 10.1055/s-0042-1743107
State-of-the-Art Review

Transesophageal Ultrasound Guidance for Endovascular Interventions on the Aorta

1   Department of Echocardiography and Paediatric Cardiology, Royal Brompton and Harefield, National Health Service (NHS) Foundation Trust, London, United Kingdom
,
2   Department of Cardiology and Aortic Centre, Royal Brompton & Harefield National Health Service Foundation Trust, London, United Kingdom
3   National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom
,
4   Department of Cardiology, Nicosia General Hospital, Strovolos, Cyprus
,
Wei Li
5   Department of Echocardiography and Congenital Heart Disease, Royal Brompton & Harefield National Health Service Foundation Trust, London, United Kingdom
,
Christoph A. Nienaber
2   Department of Cardiology and Aortic Centre, Royal Brompton & Harefield National Health Service Foundation Trust, London, United Kingdom
3   National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom
› Author Affiliations

Funding None.
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Abstract

Aortic pathologies in general require a multidisciplinary approach and decision-making to integrate elements of clinical acuity, vascular pathology, individual comorbidity, and risk assessment; thus, ideally it is a center with access to multiple imaging modalities and expertise in all treatment options. Besides classic open surgical options, endovascular procedures have been accepted for a variety of aortic pathologies. More recently, novel transcatheter interventions even to the proximal aorta have been introduced, particularly for patients unfit for open surgery. Nevertheless, the role of transesophageal echocardiography to guide percutaneous aortic interventions is not well established, notwithstanding the growing potential as an ancillary tool to guide the procedure and document success.



Publication History

Received: 18 April 2021

Accepted: 30 August 2021

Article published online:
31 May 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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