Mitral Transcatheter Edge-to-Edge Repair Using Novel Augmented Imaging Software.

Background Three-dimensional transesophageal echocardiography (3D TEE) is the primary imaging guidance tool for mitral transcatheter edge-to-edge repair (M-TEER).Early Reports Summary DeviceGuide technology is a novel investigational software program using artificial intelligence to automatically track the M-TEER device within the 3D TEE volume and reformat images to guide implantation.Discussion DeviceGuide can automatically generate multiplanar-reconstructed images that: 1) maintain target location on 3D-rendered views while imaging device location/orientation, 2) automatically generate two-dimensional orthogonal target views with real-time indicators of device position and trajectory, and 3) continuously generate a consistent two-dimensional image of the device and surrounding tissue.Novelty Automatic 3D TEE multiplanar reconstruction reformatting reduces the need for manually reformatting while continuously informing proceduralists about device trajectory, position, and orientation.Take-home Message DeviceGuide artificial intelligence-enhanced imaging software has the potential for improving the safety, efficiency, and efficacy of M-TEER implantation for both routine and anatomically complex cases irrespective of operator experience.