Correlation of Intraprocedural and Follow Up Parameters for Mitral Regurgitation Grading after Percutaneous Edge-to-Edge Repair.

Autor: Pozo Osinalde E; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Salinas Gallegos A; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Internal Medicine Department, Universidad de La Frontera, Temuco 4781218, Chile.; Cardiology Department, Hospital Dr. Hernán Henríquez Aravena, Temuco 4781151, Chile., Gordillo X; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Noninvasive Cardiology Department, Instituto Nacional Cardiovascular (INCOR), Lima 15072, Peru., Nombela Franco L; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Marcos-Alberca P; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Mahía P; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Tirado-Conte G; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Gómez de Diego JJ; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Jiménez Quevedo P; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Fernández-Ortíz A; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., Pérez-Villacastín J; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain., de Agustín Loeches JA; Cardiology Department, Instituto Cardiovascular, Hospital Clínico San Carlos, 28040 Madrid, Spain.; Fundación Interhospitalaria para la Investigación Cardiovascular (FIC), Calle Profesor Martín Lagos s/n, 28040 Madrid, Spain.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Apr 19; Vol. 11 (9). Date of Electronic Publication: 2022 Apr 19.
DOI: 10.3390/jcm11092276
Abstrakt: Background: There is no consensus on the best intraprocedural parameter to evaluate residual mitral regurgitation (MR) after transcatheter edge-to-edge mitral repair (TEER). Thus, our aim was to evaluate the predictive value of different MR parameters from intraprocedural transesophageal echocardiogram (TEE) for grading in consecutive transthoracic echocardiogram (TTE) during the follow up. Methods: All the consecutive patients who underwent TEER with MitraClip between 2010 and 2020 in our center were considered. TEE-derived immediate postprocedural MR parameters were reassessed to blindly compare them with follow up MR grading in sequential TTE. Results: We finally included 88 patients (64.8% males; 76 ± 10 years-old). Significant MR was detected in 14.3% of the cases at 6 months, in similar proportion than at postprocedural at 1 month. Among all the intraprocedural TEE quantitative parameters only additive and maximum VC were associated with significant MR persistence. Moreover, on ROC analysis maximum VC demonstrated an excellent discriminatory power (AUC 0.96; p < 0.001) to identify MR ≥ III at 6 months. Thus, a cut-off point of 0.45 cm demonstrated 88% sensitivity and 89% specificity. Conclusion: Among intraprocedural TEE parameters to evaluate residual MR in TEER, maximum and additive VC were the most reliable to predict persistence of significant insufficiency.
Databáze: MEDLINE
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