💥Question 10 #ASEchoJC❓
What are the #EchoFirst criteria to determine suitability for PBMV (aka PMBV or PMBC)? After PBMV, how do we define success, and do we identify severe MR?
@SLittleMD @senguptasp @pattypellikka @iamritu @ash71us @JournalASEcho @ASE360
What are the #EchoFirst criteria to determine suitability for PBMV (aka PMBV or PMBC)? After PBMV, how do we define success, and do we identify severe MR?
@SLittleMD @senguptasp @pattypellikka @iamritu @ash71us @JournalASEcho @ASE360
#ASEchoJC
🔺PBMV if symptomatic severe MS, pliable valve, <2+ MR & no LAA thrombus
🔺Consider in asymptomatic severe MS & PASP>50 mmHg
🔺Wilkins score <=8
🔺Importance of careful #iEcho guidance, watch for severe acute MR
🔺PBMV if symptomatic severe MS, pliable valve, <2+ MR & no LAA thrombus
🔺Consider in asymptomatic severe MS & PASP>50 mmHg
🔺Wilkins score <=8
🔺Importance of careful #iEcho guidance, watch for severe acute MR
#ASEchoJC Wilkins score for assessing suitability for PBMV. Can consider >8 in very selected cases based on specific morphologic features.
#ASEchoJC
🔺Interventional #EchoFirst (#iEcho) guidance for PBMV
🔺Reassess suitability, MR <2+, r/o LAAT
🔺Guide trans-septal puncture, balloon positioning & inflation (3D MPR can help)
🔺Assess gradient & MR after each inflation
🔺Watch for acute severe MR, large residual ASD
🔺Interventional #EchoFirst (#iEcho) guidance for PBMV
🔺Reassess suitability, MR <2+, r/o LAAT
🔺Guide trans-septal puncture, balloon positioning & inflation (3D MPR can help)
🔺Assess gradient & MR after each inflation
🔺Watch for acute severe MR, large residual ASD
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