Computed tomography is better than echocardiography in predicting balloon-expandable transcutaneous implantation valve size in a real-world clinical practice single-center study.
Humans
Transcatheter Aortic Valve Replacement
/ methods
Aortic Valve Stenosis
/ diagnostic imaging
Heart Valve Prosthesis
Retrospective Studies
Echocardiography
/ methods
Multidetector Computed Tomography
/ methods
Aortic Valve
/ diagnostic imaging
Prosthesis Design
Echocardiography, Transesophageal
/ methods
3D echocardiography
Sapien valve
TAVR
annulus sizing
multidetector computed tomography
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
revised:
06
06
2023
received:
13
02
2023
accepted:
20
06
2023
medline:
14
8
2023
pubmed:
7
7
2023
entrez:
7
7
2023
Statut:
ppublish
Résumé
Transcatheter aortic valve replacement (TAVR) has become the standard of care for selected patients with severe aortic stenosis. Multidetector computed tomography (MDCT) and transoesophageal 2D/3D (two-dimensional/three-dimensional) echocardiography (ECHO) are used for aortic annulus (AA) sizing. The aim of this study was to compare the accuracy of AA sizing by ECHO versus MDCT for Edwards Sapien balloon expandable valve in a single center. Data from 145 consecutive patients with TAVR (Sapien XT or Sapien S3) were analyzed retrospectively. A total of 139 (96%) patients had favorable outcomes after TAVR (at most mild aortic regurgitation and only one valve implanted). The 3D ECHO AA area and area-derived diameter were smaller than the corresponding MDCT parameters (464 ± 99 vs. 479 ± 88 mm 3D ECHO AA measurements are smaller than MDCT measurements. If 3D ECHO-based parameters alone are used to size the Edwards Sapien balloon expandable valve, then the selected valve size would have been smaller than the valve size implanted with favorable result in 1/3 of the patients. MDCT preprocedural TAVR assessment should be the preferred method over 3D ECHO in routine clinical practice to determine Edwards Sapien valve size.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
784-791Subventions
Organisme : Charles University, Czech Republic
Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
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