Assessment of the Severity of Aortic Regurgitation by Noninvasive Imaging

被引:0
作者
Ferrer-Sistach, Elena [1 ]
Teis, Albert [1 ]
Escabia, Claudia [1 ]
Delgado, Victoria [1 ,2 ]
机构
[1] Hosp Universitari Germans Trias i Pujol, Heart Inst, Carretera Canyet s-n, Badalona 08916, Spain
[2] Germans Trias I Pujol Res Inst IGTP, Ctr Comparat Med & Bioimaging CMCIB, Badalona, Spain
关键词
Aortic regurgitation; 3-Dimensional echocardiography; Cardiac magnetic resonance; Computed tomography; Multimodality imaging; Transcatheter tricuspid valve interventions; CARDIOVASCULAR MAGNETIC-RESONANCE; PHASE OFFSET ERRORS; VALVE-REPLACEMENT; MYOCARDIAL FIBROSIS; CONSENSUS STATEMENT; AMERICAN SOCIETY; ECHOCARDIOGRAPHY; QUANTIFICATION; ASSOCIATION; ACCURACY;
D O I
10.1007/s11886-023-02011-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of the ReviewThe role of multimodality imaging in the evaluation of patients with aortic regurgitation is summarized in this review.Recent FindingsThe etiology (mechanism) of the aortic regurgitation and the severity of aortic regurgitation and hemodynamic consequences are key in the decision making of patients with severe aortic regurgitation. While echocardiography remains as the leading technique to assess all these parameters, other imaging techniques have become essential for the accurate assessment of aortic regurgitation severity and the timing of aortic intervention. The anatomic suitability of transcatheter aortic valve implantation in inoperable patients with severe aortic regurgitation is usually assessed with computed tomography.SummaryAortic regurgitation is a prevalent disease with various pathophysiological mechanisms that need a personalized treatment. The evaluation of the mechanism and severity of aortic regurgitation can be initially performed with echocardiography. Three-dimensional techniques, including echocardiography, have become very relevant for accurate assessment of the regurgitation severity and its hemodynamic consequences. Assessment of myocardial tissue characteristics with cardiac magnetic resonance is key in the risk stratification of patients and in the timing of aortic intervention. Computed tomography is important in the assessment of aortic dimensions and selection of patients for transcatheter aortic valve implantation.
引用
收藏
页码:1 / 14
页数:14
相关论文
共 64 条
  • [1] Long-Term Outcomes After Aortic Valve Surgery in Patients With Asymptomatic Chronic Aortic Regurgitation and Preserved LVEF Impact of Baseline and Follow-Up Global Longitudinal Strain
    Alashi, Alaa
    Khullar, Tamanna
    Mentias, Amgad
    Gillinov, A. Marc
    Roselli, Eric E.
    Svensson, Lars G.
    Popovic, Zoran B.
    Griffin, Brian P.
    Desai, Milind Y.
    [J]. JACC-CARDIOVASCULAR IMAGING, 2020, 13 (01) : 12 - 21
  • [2] Incremental Prognostic Utility of Left Ventricular Global Longitudinal Strain in Asymptomatic Patients With Significant Chronic Aortic Regurgitation and Preserved Left Ventricular Ejection Fraction
    Alashi, Alaa
    Mentias, Amgad
    Abdallah, Amjad
    Feng, Ke
    Gillinov, A. Marc
    Rodriguez, L. Leonardo
    Johnston, Douglas R.
    Svensson, Lars G.
    Popovic, Zoran B.
    Griffin, Brian P.
    Desai, Milind Y.
    [J]. JACC-CARDIOVASCULAR IMAGING, 2018, 11 (05) : 673 - 682
  • [3] Prognostic Significance of Myocardial Fibrosis Quantification by Histopathology and Magnetic Resonance Imaging in Patients With Severe Aortic Valve Disease
    Azevedo, Clerio F.
    Nigri, Marcelo
    Higuchi, Maria L.
    Pomerantzeff, Pablo M.
    Spina, Guilherme S.
    Sampaio, Roney O.
    Tarasoutchi, Flavio
    Grinberg, Max
    Rochitte, Carlos Eduardo
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 56 (04) : 278 - 287
  • [4] Transcatheter Aortic Valve Replacement Role of Multimodality Imaging in Common and Complex Clinical Scenarios
    Bax, Jeroen J.
    Delgado, Victoria
    Hahn, Rebecca T.
    Leipsic, Jonathon
    Min, James K.
    Grayburn, Paul
    Sondergaard, Lars
    Yoon, Sung-Han
    Windecker, Stephan
    [J]. JACC-CARDIOVASCULAR IMAGING, 2020, 13 (01) : 124 - +
  • [5] 4D Flow cardiovascular magnetic resonance consensus statement: 2023 update
    Bissell, Malenka M.
    Raimondi, Francesca
    Ait Ali, Lamia
    Allen, Bradley D.
    Barker, Alex J.
    Bolger, Ann
    Burris, Nicholas
    Carhaell, Carl-Johan
    Collins, Jeremy D.
    Ebbers, Tino
    Francois, Christopher J.
    Frydrychowicz, Alex
    Garg, Pankaj
    Geiger, Julia
    Ha, Hojin
    Hennemuth, Anja
    Hope, Michael D.
    Hsiao, Albert
    Johnson, Kevin
    Kozerke, Sebastian
    Ma, Liliana E.
    Markl, Michael
    Martins, Duarte
    Messina, Marci
    Oechtering, Thekla H.
    van Ooij, Pim
    Rigsby, Cynthia
    Rodriguez-Palomares, Jose
    Roest, Arno A. W.
    Roldan-Alzate, Alejandro
    Schnell, Susanne
    Sotelo, Julio
    Stuber, Matthias
    Syed, Ali B.
    Toeger, Johannes
    van der Geest, Rob
    Westenberg, Jos
    Zhong, Liang
    Zhong, Yumin
    Wieben, Oliver
    Dyverfeldt, Petter
    [J]. JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE, 2023, 25 (01)
  • [6] Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI) / transcatheter aortic valve replacement (TAVR): An expert consensus document of the Society of Cardiovascular Computed Tomography
    Blanke, Philipp
    Weir-McCall, Jonathan R.
    Achenbach, Stephan
    Delgado, Victoria
    Hausleiter, Joerg
    Jilaihawi, Hasan
    Marwan, Mohamed
    Norgaard, Bjarne L.
    Piazza, Niccolo
    Schoenhagen, Paul
    Leipsic, Jonathon A.
    [J]. JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY, 2019, 13 (01) : 1 - 20
  • [7] PREOPERATIVE EXERCISE CAPACITY IN SYMPTOMATIC PATIENTS WITH AORTIC REGURGITATION AS A PREDICTOR OF POSTOPERATIVE LEFT-VENTRICULAR FUNCTION AND LONG-TERM PROGNOSIS
    BONOW, RO
    BORER, JS
    ROSING, DR
    HENRY, WL
    PEARLMAN, AS
    MCINTOSH, CL
    MORROW, AG
    EPSTEIN, SE
    [J]. CIRCULATION, 1980, 62 (06) : 1280 - 1290
  • [8] Repair-oriented classification of aortic insufficiency: Impact on surgical techniques and clinical outcomes
    Boodhwani, Munir
    de Kerchove, Laurent
    Glineur, David
    Poncelet, Alain
    Rubay, Jean
    Astarci, Parla
    Verhelst, Robert
    Noirhomme, Philippe
    El Khoury, Gebrine
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (02) : 286 - 294
  • [9] Myocardial fibrosis in chronic aortic regurgitation - Molecular and cellular responses to volume overload
    Borer, JS
    Truter, S
    Herrold, EM
    Falcone, DJ
    Pena, M
    Carter, JN
    Dumlao, TF
    Lee, JA
    Supino, PG
    [J]. CIRCULATION, 2002, 105 (15) : 1837 - 1842
  • [10] The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve-related aortopathy: Full online-only version
    Borger, Michael A.
    Fedak, Paul W. M.
    Stephens, Elizabeth H.
    Gleason, Thomas G.
    Girdauskas, Evaldas
    Ikonomidis, John S.
    Khoynezhad, Ali
    Siu, Samuel C.
    Verma, Subodh
    Hope, Michael D.
    Cameron, Duke E.
    Hammer, Donald F.
    Coselli, Joseph S.
    Moon, Marc R.
    Sundt, Thoralf M.
    Barker, Alex J.
    Markl, Michael
    Della Corte, Alessandro
    Michelena, Hector I.
    Elefteriades, John A.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2018, 156 (02) : E41 - E74