scholarly journals Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach

2017 ◽  
Vol 9 (3) ◽  
pp. 212 ◽  
Author(s):  
Rosangela Cocchia ◽  
Antonello D’Andrea ◽  
Marianna Conte ◽  
Massimo Cavallaro ◽  
Lucia Riegler ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Patient Selection ◽  
Transcatheter Aortic Valve Replacement ◽  
Multimodality Imaging ◽  
Transcatheter Aortic Valve ◽  
Imaging Approach ◽  
Selection For

scholarly journals Patient selection for transcatheter aortic valve replacement: how to choose an appropriate candidate

2021 ◽  
Vol 16 (9-10) ◽  
pp. 306-306
Author(s):  
Ivana Jurin ◽  
Tomislav Šipić ◽  
Daniel Unić ◽  
Igor Rudež ◽  
Šime Manola ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Patient Selection ◽  
Transcatheter Aortic Valve Replacement ◽  
Transcatheter Aortic Valve ◽  
Selection For

scholarly journals Patient Selection for Transcatheter Aortic Valve Replacement

2013 ◽  
Vol 62 (17) ◽  
pp. S1-S10 ◽  
Author(s):  
Michael J. Mack ◽  
David R. Holmes ◽  
John Webb ◽  
Alain Cribier ◽  
Susheel K. Kodali ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Patient Selection ◽  
Transcatheter Aortic Valve Replacement ◽  
Transcatheter Aortic Valve ◽  
Selection For

scholarly journals Multimodality imaging derived energy loss index and outcome after transcatheter aortic valve replacement

2020 ◽  
Vol 21 (10) ◽  
pp. 1092-1102 ◽  
Author(s):  
Erik W Holy ◽  
Thi Dan Linh Nguyen-Kim ◽  
Lisa Hoffelner ◽  
Daniel Stocker ◽  
Thomas Stadler ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Energy Loss ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Multimodality Imaging ◽  
Left Ventricular ◽  
Aortic Valve Area ◽  
Transcatheter Aortic Valve ◽  
Loss Index

Abstract Aims  To assess whether the combination of transthoracic echocardiography (TTE) and multidetector computed tomography (MDCT) data affects the grading of aortic stenosis (AS) severity under consideration of the energy loss index (ELI) in patients undergoing transcatheter aortic valve replacement (TAVR). Methods and results  Multimodality imaging was performed in 197 patients with symptomatic severe AS undergoing TAVR at the University Hospital Zurich, Switzerland. Fusion aortic valve area index (fusion AVAi) assessed by integrating MDCT derived planimetric left ventricular outflow tract area into the continuity equation was significantly larger as compared to conventional AVAi (0.41 ± 0.1 vs. 0.51 ± 0.1 cm2/m2; P < 0.01). A total of 62 patients (31.4%) were reclassified from severe to moderate AS with fusion AVAi being >0.6 cm2/m2. ELI was obtained for conventional AVAi and fusion AVAi based on sinotubular junction area determined by TTE (ELILTL 0.47 ± 0.1 cm2/m2; fusion ELILTL 0.60 ± 0.1 cm2/m2) and MDCT (ELIMDCT 0.48 ± 0.1 cm2/m2; fusion ELIMDCT 0.61 ± 0.05 cm2/m2). When ELI was calculated with fusion AVAi the effective orifice area was >0.6 cm2/m2 in 85 patients (43.1%). Survival rate 3 years after TAVR was higher in patients reclassified to moderate AS according to multimodality imaging derived ELI (78.8% vs. 67%; P = 0.01). Conclusion  Multimodality imaging derived ELI reclassifies AS severity in 43% undergoing TAVR and predicts mid-term outcome.

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