Prediction of the annuloplasty ring size in patients undergoing mitral valve repair using real-time three-dimensional transoesophageal echocardiography
| Autor: | Jörg Ender, Volkmar Falk, D. Mathioudakis, Sarah Eibel, Chirojit Mukherjee, Friedrich-Wilhelm Mohr, Stephan Jacobs, Michael A. Borger |
|---|---|
| Přispěvatelé: | University of Zurich, Ender, J |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Mitral Valve Annuloplasty medicine.medical_treatment Statistics as Topic Annuloplasty ring 610 Medicine & health Annuloplasty rings Transoesophageal echocardiography 2705 Cardiology and Cardiovascular Medicine Real-time three-dimensional echocardiography Mitral valve annuloplasty Internal medicine Mitral valve medicine 2741 Radiology Nuclear Medicine and Imaging Humans Radiology Nuclear Medicine and imaging In patient Computer Simulation Intercommissural distance cardiovascular diseases Mitral valve repair business.industry Mitral Valve Insufficiency General Medicine Middle Aged Models Theoretical 10020 Clinic for Cardiac Surgery Ring size medicine.anatomical_structure Anterior mitral leaflet Cardiology cardiovascular system Mitral Valve Female Clinical/Original Papers Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Zdroj: | European Journal of Echocardiography |
| ISSN: | 1532-2114 |
| Popis: | Aims We sought to investigate the additional value of real-time three-dimensional transoesophageal echocardiography (RT 3D TOE)-guided sizing for predicting annuloplasty ring size during mitral valve repair. Methods and results In 53 patients undergoing elective mitral valve repair, an RT 3D TOE was performed pre- and post-operatively. The digitally stored loops were imported into a software for mitral valve assessment. The annuloplasty ring size was predicted by superimposing computer-aided design (CAD) models of annuloplasty rings onto Live 3D zoom loops, measurement of the intercommissural distance, or the height of the anterior mitral leaflet. The surgeon implanted the annuloplasty ring according to the usual surgical technique and was blinded to the echocardiographic measurement results. Pre-operative correlation between the selected ring size with mitral valve assessment and the actual implanted annuloplasty ring size was 0.91. The correlation for measurement of the intercommissural distance was 0.55 and for measurement of the height of the anterior mitral leaflet 0.75. The post-operative correlation with the actual implanted ring size was 0.96 for mitral valve assessment, 0.92 for intercommissural distance, and 0.79 for the anterior mitral leaflet height. Conclusion Superimposition of annuloplasty ring CAD models on the Live 3D zoom loops of the mitral valve using mitral valve assessment is superior to two-dimensional measurements of the intercommissural distance or the height of the anterior mitral leaflet in predicting correct annuloplasty ring size. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|