• Je něco špatně v tomto záznamu ?

Computed tomography is better than echocardiography in predicting balloon-expandable transcutaneous implantation valve size in a real-world clinical practice single-center study

K. Medilek, J. Bis, P. Polansky, T. Kvasnicka, A. Borg, J. Dusek, M. Brtko, M. Tuna, R. Praus, M. Ballon, J. Stasek, S. Littnerova, P. Parizek

. 2023 ; 40 (8) : 784-791. [pub] 20230707

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23016669

Grantová podpora
Charles University, Czech Republic

AIMS: 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. METHODS AND RESULTS: 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 mm2 , p < .001, and 24.2 ± 2.7 vs. 25.0 ± 5.5 mm, p = .002, respectively). The 2D ECHO annulus measurement was smaller than both the MDCT and 3D ECHO area-derived diameters (22.6 ± 2.9 vs. 25.0 ± 5.5 mm, p = .013, and 22.6 ± 2.9 vs. 24.2 ± 2.7 mm, p < .001, respectively) but larger than the minor axis diameter of the AA derived from MDCT and 3D ECHO by multiplanar reconstruction (p < .001). The 3D ECHO circumference-derived diameter was also smaller than the MDCT circumference-derived diameter (24.3 ± 2.5 vs. 25.0 ± 2.3, p = .007). The sphericity index by 3D ECHO was smaller than that by MDCT (1.2 ± .1 vs. 1.3 ± .1, p < .001). In up to 1/3 of the patients, 3D ECHO measurements would have predicted different (generally smaller) valve size than was the valve size implanted with favorable result. The concordance of the implanted valve size with the recommended size based on preprocedural MDCT and 3D ECHO AA area was 79.4% versus 61% (p = .001), and for the area-derived diameter, the concordance was 80.1% versus 61.7% (p = .001). 2D ECHO diameter concordance was similar to MDCT (78.7%). CONCLUSIONS: 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.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc23016669
003      
CZ-PrNML
005      
20231026105634.0
007      
ta
008      
231013s2023 xxu f 000 0|eng||
009      
AR
024    7_
$a 10.1111/echo.15643 $2 doi
035    __
$a (PubMed)37417924
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxu
100    1_
$a Medilek, Karel $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic $u Faculty of Medicine Hradec Kralove, Charles University Prague, Czech Republic $1 https://orcid.org/0000000215109186 $7 xx0277035
245    10
$a Computed tomography is better than echocardiography in predicting balloon-expandable transcutaneous implantation valve size in a real-world clinical practice single-center study / $c K. Medilek, J. Bis, P. Polansky, T. Kvasnicka, A. Borg, J. Dusek, M. Brtko, M. Tuna, R. Praus, M. Ballon, J. Stasek, S. Littnerova, P. Parizek
520    9_
$a AIMS: 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. METHODS AND RESULTS: 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 mm2 , p < .001, and 24.2 ± 2.7 vs. 25.0 ± 5.5 mm, p = .002, respectively). The 2D ECHO annulus measurement was smaller than both the MDCT and 3D ECHO area-derived diameters (22.6 ± 2.9 vs. 25.0 ± 5.5 mm, p = .013, and 22.6 ± 2.9 vs. 24.2 ± 2.7 mm, p < .001, respectively) but larger than the minor axis diameter of the AA derived from MDCT and 3D ECHO by multiplanar reconstruction (p < .001). The 3D ECHO circumference-derived diameter was also smaller than the MDCT circumference-derived diameter (24.3 ± 2.5 vs. 25.0 ± 2.3, p = .007). The sphericity index by 3D ECHO was smaller than that by MDCT (1.2 ± .1 vs. 1.3 ± .1, p < .001). In up to 1/3 of the patients, 3D ECHO measurements would have predicted different (generally smaller) valve size than was the valve size implanted with favorable result. The concordance of the implanted valve size with the recommended size based on preprocedural MDCT and 3D ECHO AA area was 79.4% versus 61% (p = .001), and for the area-derived diameter, the concordance was 80.1% versus 61.7% (p = .001). 2D ECHO diameter concordance was similar to MDCT (78.7%). CONCLUSIONS: 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.
650    _2
$a lidé $7 D006801
650    12
$a transkatetrální implantace aortální chlopně $x metody $7 D065467
650    12
$a aortální stenóza $x diagnostické zobrazování $x chirurgie $x etiologie $7 D001024
650    12
$a srdeční chlopně umělé $7 D006350
650    _2
$a retrospektivní studie $7 D012189
650    _2
$a echokardiografie $x metody $7 D004452
650    _2
$a multidetektorová počítačová tomografie $x metody $7 D061330
650    _2
$a aortální chlopeň $x diagnostické zobrazování $x chirurgie $7 D001021
650    _2
$a protézy - design $7 D011474
650    _2
$a echokardiografie transezofageální $x metody $7 D017548
655    _2
$a časopisecké články $7 D016428
700    1_
$a Bis, Josef $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Polansky, Pavel $u Department of Cardiothoracic Surgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Kvasnicka, Tomas $u Department of Radiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Borg, Alex $u Department of Cardiology, Mater Dei Hospital, Triq Dun Karm, L-Imsida MSD 2090 and University of Malta, Msida MSD, Malta
700    1_
$a Dusek, Jaroslav $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Brtko, Miroslav $u Department of Cardiothoracic Surgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Tuna, Martin $u Department of Cardiothoracic Surgery, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Praus, Rudolf $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Ballon, Marek $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Stasek, Josef $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
700    1_
$a Littnerova, Simona $u Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic
700    1_
$a Parizek, Petr $u Department of Cardioangiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic $u Faculty of Medicine Hradec Kralove, Charles University Prague, Czech Republic
773    0_
$w MED00001491 $t Echocardiography (Mount Kisco, N.Y.) $x 1540-8175 $g Roč. 40, č. 8 (2023), s. 784-791
856    41
$u https://pubmed.ncbi.nlm.nih.gov/37417924 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20231013 $b ABA008
991    __
$a 20231026105628 $b ABA008
999    __
$a ok $b bmc $g 2000281 $s 1203031
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2023 $b 40 $c 8 $d 784-791 $e 20230707 $i 1540-8175 $m Echocardiography $n Echocardiography $x MED00001491
GRA    __
$p Charles University, Czech Republic
LZP    __
$a Pubmed-20231013

Najít záznam

Citační ukazatele

Možnosti archivace