EVALUTION_OF_PROSTHETIC_VALVES_CardiologyPPT.pptx

Cardiology

1. EVALUTION OF PROSTHETIC VALVES

2. APPROACH 2D DOPPLER AND COLOR FLOW REGURGITATION OBSTRUCTION TEE

3. 2D DEHISENCE VEGETATION THROMBUS/PANNUS DEGNERATION OF TISSUE DIFFICULTIES: ECHO REVERBERATIONS

4. TYPES OF PROSTHETIC VALVES

5. 2D GOALS

6. M MODE

7. DOPPLER GOALS

8. ABNORMAL STRUCTURES

9. PRIMARY GOAL OF DOPPLER

10. DOPPLER ASSESMENT

11. DOPPLER Flow velocity across prosthetic valve Pressure gradient using bernolius eqaution 4V2 Continuity eqa : to find EOA PHT Prosthetic has mild gradient compared with native valve( location,type,size , various degree) Baseline echo after post operative to followup echo for reference

12. High velocity and PHT Regurgitation and obstruction has high velocity PHT is prolonged for Obstruction. Where pht normal in regurgitation in mitral and tricuspid prosthetic, forward flow is decreased.

13. PHT Pressure half-time (PHT) is defined as the time required for the pressure gradient to decrease to half of its maximal value, and is an index of stenosis severity. 

14. Uses of PHT MITRAL PHT OBSTRUCTION : INCREASE REGURGITATION: NORMAL OR DECREASE

15. LVOT VELOCITY AORTIC LVOT VELOCITY OBSTRUCTION DECREASE forward flow decrease REGURGITATION INCREASE Forward flow increase

16. OBSTRUCTION WHAT TO SEE VALVE SIZE TYPE OF VALVE LOCATION OF VALVE ANTICOGULANT TREATMENT HOW: MOTION OF ( v alve,Ball , Disc) IS OBSTRUCTED

17. EOA

18. DVI

19. PPM

20. MANY REASONS FOR HIGH VELOCITY

21. PHSIOLOGY REGURGITATION

22. VALVE TYPE

23. PATHOLOGY REGURGITATION

24. REGURGITATION VALVULAR Within th sewing ring PARA VALVLAR Eccentric or large jet Marked variance Jet around the swing ring

25. CLINICAL UTILITY

26. PARAMETERS FOR MITRAL

27. PARAMETERS FOR AORTIC

28. CONTRAST

29. STRANDS

30. SUTURES

31. USE OF TEE

32. TEE USES

33. LIMITATION TEE

34. TAVI

35. INTRA OPERATIVE TEE USES