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Inferior Vena Cava Edge Tracking Echocardiography: A Promising Tool with Applications in Multiple Clinical Settings

2022; Multidisciplinary Digital Publishing Institute; Volume: 12; Issue: 2 Linguagem: Inglês

10.3390/diagnostics12020427

2075-4418

Stefano Albani, Luca Mesin, Silvestro Roatta, Antonio De Luca, Alberto Giannoni, Davide Stolfo, Lorenza Biava, Caterina Bonino, Laura Contu, Elisa Pelloni, Emilio Attena, Vincenzo Russo, Francesco Antonini‐Canterin, Nicola Riccardo Pugliese, Guglielmo Gallone, Gaetano Maria De Ferrari, Gianfranco Sinagra, Paolo Scacciatella,

Cardiovascular Function and Risk Factors

Ultrasound (US)-based measurements of the inferior vena cava (IVC) diameter are widely used to estimate right atrial pressure (RAP) in a variety of clinical settings. However, the correlation with invasively measured RAP along with the reproducibility of US-based IVC measurements is modest at best. In the present manuscript, we discuss the limitations of the current technique to estimate RAP through IVC US assessment and present a new promising tool developed by our research group, the automated IVC edge-to-edge tracking system, which has the potential to improve RAP assessment by transforming the current categorical classification (low, normal, high RAP) in a continuous and precise RAP estimation technique. Finally, we critically evaluate all the clinical settings in which this new tool could improve current practice.