Assess leaflet orientation for grasping with 3D Navigation
- By Philips
- May 20 2026
- Duration 6: 28
Philips VeriSight Pro 3D ICE Catheter helps users achieve excellent image quality for tricuspid grasping procedures. When anatomy limits conventional views, our 3D navigation technique enables the highest resolution grasping views in 3D MPRs, and improves 2D or xPlane imaging, supporting grasping with any mode desired. [1-4] Quickly learn how to optimize views with our 3D Navigation technique in this step-by-step video using a cardiac bio-simulator and tricuspid repair device.
At-a-glance:
- 0:39: Complement TEE imaging with 3D ICE for clearer views of valve anatomy
- 2:17: Demonstration of 3D Navigation plane manipulation to enhance image quality, resulting in high-resolution xPlane views
- 3:57: Track catheter maneuvers with 3D (advancing, retracting, clocking, and using left/right flex) for precise alignment and enhanced grasping views
- 5:25: Using 3D Navigation technique in real-time
Goal of 3D Navigation
Use the 3D environment to intentionally align a high-resolution elevation plane (red plane in MPR) with the arms of the device so optimized xPlane views can be utilized to assess grasp and adequate leaflet insertion.
Common catheter movements
- Advance: Planes move toward aorta (anterior)
- Retract: Planes move toward IVC (posterior)
- Clock: Planes move to “look” septal
- Counter-clock: Planes move to “look” lateral
- Flex left: Turns volume left
- Flex right: Turns volume right
ICE image before and after 3D navigation technique is applied
Transform your tricuspid procedures
Detailed anatomic visualization is essential for both T-TEER and TTVR procedural success, but visualization of leaflet grasp or anchor capture can be challenging with transesophageal echocardiography (TEE) alone. [2-4] The integration of Philips VeriSight Pro 3D ICE imaging with TEE supports accurate, real-time guidance during device deployment. Utilizing the 3D Navigation technique provides a flexible method to enhance image quality, allowing for quick adjustments to improve grasping views.
Learn more about the benefits of VeriSight Pro 3D ICE Catheter for tricuspid procedures
VeriSight Pro 3D navigation quick guide
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Footnotes
- Kassab et al. Advanced Echocardiographic Guidance for Transcatheter Tricuspid Edge-To-Edge Repair. Cardiol Clin. 2024;42(3). DOI: 10.1016/j.ccl.2024.01.001
- Eleid MF et al. Utility of Intracardiac Echocardiography in the Early Experience of Transcatheter Edge to Edge Tricuspid Valve Repair. Circ Cardiovasc Interv, 2021;14(10). DOI: 10.1161/CIRCINTERVENTIONS.121.011118
- Sanchez and Yakubov. Simplifying Transcatheter Tricuspid Valve Replacement With 3-Dimensional Intracardiac Echocardiography. JSCAI Image, 2024;3(4).
- Curio, J et al. Intracardiac Echocardiography to Enable Successful Edge-to-edge Transcatheter Tricuspid Valve Repair in Patients with Insufficient TEE Quality. Clin Hemorheology and Microcirc, 2020;76(2). DOI: 10.3233/CH-209211
Disclaimer
Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions. Results in other cases may vary.