Invasive versus echocardiographic gradients in degenerated surgical aortic valve prostheses: A multicenter studyCentral MessagePerspective

Autor: Amer N. Kadri, MD, George Hanzel, MD, Sammy Elmariah, MD, Francis Shannon, MD, Karim Al-Azizi, MD, Judith Boura, MS, Michael Mack, MD, Amr E. Abbas, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JTCVS Open, Vol 7, Iss , Pp 51-60 (2021)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2021.06.029
Popis: Objectives: To compare echocardiographic and invasive mean gradients obtained concomitantly in degenerated bioprosthetic surgical aortic valves (SAVRs). Methods: In a multicenter study, we compared concomitant echocardiographic and invasive mean gradients of SAVR, obtained before valve-in-valve transcatheter aortic valve replacement in all patients, patients with primary stenosis (AS), primary aortic regurgitation (AR), and mixed aortic valve disease (MAVD), and in small versus large valves (≤ or >23 mm). Dimensionless index (DI) was calculated in all groups. Results: In total, 74 patients were included and data presented as median (interquartile range). Echocardiography-catheterization mean gradient discordance was observed in all patients (invasive = 22 mm Hg [11-34] vs echocardiographic = 32 mm Hg [21-42], P = .013), small valves (invasive = 15 mm Hg [8-34] vs echocardiographic = 28 mm Hg [21-41], P = .013), and large valves (invasive = 20 mm Hg [8.5-27.13] vs echocardiographic = 32 mm Hg [25.5 ̶ 41.5], P
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