Large-field intravascular ultrasound for annular sizing and predicting paravalvular regurgitation during TAVR: comparisons with multidetector computed tomography and transoesophageal echocardiography

Autor: Gopal Ghimire, Tara Leesar, Garima Arora, Lindsey B. Jernigan, Satinder Singh, James E. Davies, Oscar J Booker, Oluseun Alli, Mark Sasse, Spencer J. Melby, Massoud A. Leesar, Diaa Hakim
Rok vydání: 2016
Předmět:
Male
medicine.medical_specialty
medicine.medical_treatment
Aortic Valve Insufficiency
Regurgitation (circulation)
030204 cardiovascular system & hematology
Risk Assessment
Severity of Illness Index
Cohort Studies
Transcatheter Aortic Valve Replacement
03 medical and health sciences
0302 clinical medicine
Valve replacement
Predictive Value of Tests
Intravascular ultrasound
Multidetector Computed Tomography
medicine
Humans
Radiology
Nuclear Medicine and imaging
cardiovascular diseases
030212 general & internal medicine
Heart valve
Cardiac skeleton
Prospective Studies
Intraoperative Complications
Ultrasonography
Interventional
Analysis of Variance
Chi-Square Distribution
medicine.diagnostic_test
Receiver operating characteristic
business.industry
Acute kidney injury
General Medicine
Aortic Valve Stenosis
equipment and supplies
medicine.disease
Prognosis
Stenosis
medicine.anatomical_structure
Treatment Outcome
ROC Curve
Area Under Curve
cardiovascular system
Female
Radiology
Cardiology and Cardiovascular Medicine
business
Echocardiography
Transesophageal
Zdroj: European heart journal. Cardiovascular Imaging. 18(12)
ISSN: 2047-2412
Popis: Aims The use of contrast media with multidetector computed tomography (MDCT) may induce acute kidney injury in patients with renal failure undergoing transcatheter aortic valve replacement (TAVR). We investigated the role of large-field intravascular ultrasound (IVUS) vs. MDCT and two-dimensional transoesophageal echocardiography (2D-TEE) for annular sizing and predicting paravalvular regurgitation (PVR) during TAVR. Methods and Results The aortic annulus was measured by large-field IVUS and 2D-TEE, and compared with MDCT in 50 patients undergoing TAVR. The IVUS and MDCT annular areas and diameters were not significantly different (446 ± 87 mm2 and 23.8 ± 84 mm vs. 466 ± 84 mm2 and 24 ± 2.1 mm, respectively; P > 0.05). IVUS and MDCT mean annular diameters were significantly greater than TEE diameter (23.8 ± 2.4 and 24 ± 2.1 vs. 22 ± 0.65 mm, respectively; P
Databáze: OpenAIRE
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