Aortic regurgitation after transcatheter aortic valve implantation (TAVI) - Angiographic, echocardiographic and hemodynamic assessment in relation to one year outcome
被引:12
作者:
Collas, Valerie M.
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机构:
Univ Antwerp, Fac Med & Hlth Sci, Dept Translat Pathophysiol Res, Cardiovasc Dis, B-2610 Antwerp, Belgium
Univ Antwerp Hosp, Dept Cardiol, B-2650 Edegem, BelgiumUniv Antwerp, Fac Med & Hlth Sci, Dept Translat Pathophysiol Res, Cardiovasc Dis, B-2610 Antwerp, Belgium
Background: Aortic regurgitation (AR) after transcatheter aortic valve implantation (TAVI) remains a relatively frequent and life-limiting complication. However, the most prognostically discriminative (and therefore preferred) technique of AR evaluation after TAVI is not yet clearly defined. The aim of this study was to compare angiographic, echocardiographic and hemodynamic assessment of AR after TAVI in relation to one year outcome. Methods and results: In this single center prospective cohort study, angiography (AR grading), echocardiography (AR quantification using color Doppler flow mapping) and invasive hemodynamics (AR index) were assessed before and after TAVI. All patients were followed up to at least one year. A total of 111 consecutive (very) high-risk patients with severe, symptomatic aortic valve stenosis underwent TAVI. No concordant relation could be demonstrated between angiographic, echocardiographic and invasive assessment of AR after TAVI. AR index <25 post TAVI was significantly influenced by left ventricular posterior wall thickness (odds ratio: 1.276, p = 0.030) and AR index pre TAVI (odds ratio: 0.948, p = 0.019). Neither angiographic nor hemodynamic AR assessments were able to discriminate between good or significantly decreased one year survival. In contrast, color Doppler flow mapping of AR after TAVI was highly reproducible, and able to differentiate between good or significantly decreased one year survival (AR grades 0-I: one year survival 87% vs. AR grades II-III-IV: one year survival 68%, p = 0.035). Conclusion: Echocardiography using color Doppler flow mapping is the preferred technique to assess prognostically relevant AR after TAVI. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USA
Hop Sacre Coeur Montreal, Montreal, PQ, CanadaColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Genereux, Philippe
;
Head, Stuart J.
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h-index: 0
机构:
Erasmus Univ, Med Ctr, Dept Cardiothorac Surg, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Head, Stuart J.
;
Hahn, Rebecca
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h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Hahn, Rebecca
;
Daneault, Benoit
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Daneault, Benoit
;
Kodali, Susheel
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h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Kodali, Susheel
;
Williams, Mathew R.
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h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Williams, Mathew R.
;
van Mieghem, Nicolas M.
论文数: 0引用数: 0
h-index: 0
机构:
Erasmus Univ, Dept Cardiol, Med Ctr, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
van Mieghem, Nicolas M.
;
Alu, Maria C.
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h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Alu, Maria C.
;
Serruys, Patrick W.
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h-index: 0
机构:
Erasmus Univ, Dept Cardiol, Med Ctr, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Serruys, Patrick W.
;
Kappetein, A. Pieter
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h-index: 0
机构:
Erasmus Univ, Med Ctr, Dept Cardiothorac Surg, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Hahn, Rebecca T.
;
Kodali, Susheel
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Kodali, Susheel
;
Genereux, Philippe
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USA
Hop Sacre Coeur, Montreal, PQ H4J 1C5, CanadaColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Genereux, Philippe
;
Leon, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USA
Hop Sacre Coeur Montreal, Montreal, PQ, CanadaColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Genereux, Philippe
;
Head, Stuart J.
论文数: 0引用数: 0
h-index: 0
机构:
Erasmus Univ, Med Ctr, Dept Cardiothorac Surg, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Head, Stuart J.
;
Hahn, Rebecca
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Hahn, Rebecca
;
Daneault, Benoit
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Daneault, Benoit
;
Kodali, Susheel
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Kodali, Susheel
;
Williams, Mathew R.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Williams, Mathew R.
;
van Mieghem, Nicolas M.
论文数: 0引用数: 0
h-index: 0
机构:
Erasmus Univ, Dept Cardiol, Med Ctr, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
van Mieghem, Nicolas M.
;
Alu, Maria C.
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Alu, Maria C.
;
Serruys, Patrick W.
论文数: 0引用数: 0
h-index: 0
机构:
Erasmus Univ, Dept Cardiol, Med Ctr, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Serruys, Patrick W.
;
Kappetein, A. Pieter
论文数: 0引用数: 0
h-index: 0
机构:
Erasmus Univ, Med Ctr, Dept Cardiothorac Surg, Rotterdam, NetherlandsColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Hahn, Rebecca T.
;
Kodali, Susheel
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Kodali, Susheel
;
Genereux, Philippe
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USA
Hop Sacre Coeur, Montreal, PQ H4J 1C5, CanadaColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Genereux, Philippe
;
Leon, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA
Cardiovasc Res Fdn, New York, NY USAColumbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA