Coronary Artery Disease Assessed by Computed Tomography-Based Leaman Score in Patients With Low-Risk Transcatheter Aortic Valve Implantation

被引:3
作者
Ozaki, Yuichi [1 ]
Garcia-Garcia, Hector M. [1 ]
Rogers, Toby [1 ,2 ]
Torguson, Rebecca [1 ]
Craig, Paige E. [1 ]
Hideo-Kajita, Alexandre [1 ]
Gordon, Paul [3 ]
Ehsan, Afshin [4 ]
Parikh, Puja [5 ]
Bilfinger, Thomas [6 ]
Butzel, David [7 ]
Buchanan, Scott [7 ]
Levitt, Robert [8 ]
Hahn, Chiwon [9 ]
Buchbinder, Maurice [10 ]
Hanna, Nicholas [11 ]
Garrett, Robert [12 ]
Wilson, Sean R. [13 ]
Goncalves, John A. [14 ]
Ali, Syed [1 ]
Asch, Federico M. [15 ]
Weissman, Gaby [16 ]
Shults, Christian [17 ]
Ben-Dor, Itsik [1 ]
Satler, Lowell F. [1 ]
Waksman, Ron [1 ]
机构
[1] MedStar Washington Hosp Ctr, Sect Intervent Cardiol, Washington, DC 20010 USA
[2] NHLBI, Cardiovasc Branch, NIH, Bldg 10, Bethesda, MD 20892 USA
[3] Miriam Hosp, Div Cardiol, Providence, RI 02906 USA
[4] Lifespan Cardiovasc Inst, Div Cardiothorac Surg, Providence, RI USA
[5] Stony Brook Hosp, Dept Med, Stony Brook, NY USA
[6] Stony Brook Hosp, Dept Surg, Stony Brook, NY USA
[7] Maine Med Ctr, Cardiovasc Serv Line, Portland, ME 04102 USA
[8] Henrico Doctors Hosp, Dept Cardiol, Richmond, VA USA
[9] Henrico Doctors Hosp, Dept Cardiothorac Surg, Richmond, VA USA
[10] Stanford Univ, Fdn Cardiovasc Med, Stanford, CA 94305 USA
[11] St John Hlth Syst, St John Heart Inst Cardiovasc Consultants, Tulsa, OK USA
[12] St John Hlth Syst, St John Heart Inst Cardiovasc Consultants, St John Clin Cardiovasc Surg, Tulsa, OK USA
[13] Valley Hosp, Dept Med, Ridgewood, NJ USA
[14] Valley Hosp, Cardiac Surg Program, Ridgewood, NJ USA
[15] MedStar Washington Hosp Ctr, MedStar Hlth Res Inst, Washington, DC USA
[16] MedStar Washington Hosp Ctr, Dept Cardiol, Washington, DC USA
[17] MedStar Washington Hosp Ctr, Dept Cardiac Surg, Washington, DC USA
关键词
CT ANGIOGRAPHY; REPLACEMENT; PERFORMANCE; RATIONALE; IMPACT;
D O I
10.1016/j.amjcard.2020.01.022
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We aimed to evaluate the burden of coronary artery disease (CAD) using the computed tomography (CT) Leaman score in low-risk transcatheter aortic valve implantation (TAVI) patients. The extent of CAD in low-risk patients with aortic stenosis who are candidates for TAVI has not been accurately quantified. The CT Leaman score was developed to quantify coronary CT angiography (CCTA) atherosclerotic burden and has been validated to evaluate the extent of CAD. CT Leaman score >5 has been associated with an increase in major adverse cardiac events over long-term follow-up. The study population included patients enrolled in the Low Risk TAVI trial who underwent CCTA before the procedure. For the CT Leaman score, we used 3 sets of weighting factors: (1) location of coronary plaques, (2) type of plaque, and (3) degree of stenosis. A total of 200 patients were enrolled in the Low Risk TAVI trial. Excluded were 31 patients who had no analyzable CCTA imaging. For the remaining 169 patients, the mean CT Leaman score was 6.27 +/- 0.27, of whom 102 (60.4%) had CT Leaman score >5. Nearly all analyzed patients (97%) had coronary plaques. Furthermore, 33 patients (19.5%) had potentially obstructive coronary plaques (>50% stenosis by CCTA) in proximal segments. Most low-risk TAVI patients have significant CAD burden by CCTA. It should be a priority for future TAVI devices to guarantee unimpeded access to the coronary arteries for selective angiography and interventions. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:1216 / 1221
页数:6
相关论文
共 20 条
  • [1] Long-term prognostic impact of CT-Leaman score in patients with non-obstructive CAD: Results from the COronary CT Angiography EvaluatioN For Clinical Outcomes InteRnational Multicenter (CONFIRM) study
    Andreini, Daniele
    Pontone, Gianluca
    Mushtaq, Saima
    Gransar, Heidi
    Conte, Edoardo
    Bartorelli, Antonio L.
    Pepi, Mauro
    Opolski, Maksymilian P.
    Hartaigh, Briain O.
    Berman, Daniel S.
    Budoff, Matthew J.
    Achenbach, Stephan
    Al-Mallah, Mouaz
    Cademartiri, Filippo
    Callister, Tracy Q.
    Chang, Hyuk-Jae
    Chinnaiyan, Kavitha
    Chow, Benjamin J. W.
    Cury, Ricardo
    Delago, Augustin
    Hadamitzky, Martin
    Hausleiter, Joerg
    Feuchtner, Gudrun
    Kim, Yong-Jin
    Kaufmann, Philipp A.
    Leipsic, Jonathon
    Lin, Fay Y.
    Maffei, Erica
    Raff, Gilbert
    Shaw, Leslee J.
    Villines, Todd C.
    Dunning, Allison
    Marques, Hugo
    Rubinshtein, Ronen
    Hindoyan, Niree
    Gomez, Millie
    Min, Jmaes K.
    [J]. INTERNATIONAL JOURNAL OF CARDIOLOGY, 2017, 231 : 18 - 25
  • [2] Diagnostic accuracy of multidetector computed tomography coronary angiography in 325 consecutive patients referred for transcatheter aortic valve replacement
    Andreini, Daniele
    Pontone, Gianluca
    Mushtaq, Saima
    Bartorelli, Antonio L.
    Ballerini, Giovanni
    Bertella, Erika
    Segurini, Chiara
    Conte, Edoardo
    Annoni, Andrea
    Baggiano, Andrea
    Formenti, Alberto
    Fusini, Laura
    Tamborini, Gloria
    Alamanni, Francesco
    Fiorentini, Cesare
    Pepi, Mauro
    [J]. AMERICAN HEART JOURNAL, 2014, 168 (03) : 332 - 339
  • [3] Challenges of coronary angiography and intervention in patients previously treated by TAVI
    Blumenstein, Johannes
    Kim, Won-Keun
    Liebetrau, Christoph
    Gaede, Luise
    Kempfert, Joerg
    Walther, Thomas
    Hamm, Christian
    Moellmann, Helge
    [J]. CLINICAL RESEARCH IN CARDIOLOGY, 2015, 104 (08) : 632 - 639
  • [4] Factors That Prevent Progression to Transcatheter Aortic Valve Implantation (TAVI)
    Dawson, Luke P.
    Dagan, Misha
    Koh, Youlin
    Duffy, Stephen J.
    Stub, Dion
    Lew, Philip
    Shaw, James A.
    Walton, Antony
    [J]. HEART LUNG AND CIRCULATION, 2019, 28 (08) : 1225 - 1234
  • [5] Coronary Artery Disease and Transcatheter Aortic Valve Replacement JACC State-of-the-Art Review
    Faroux, Laurent
    Guimaraes, Leonardo
    Wintzer-Wehekind, Jerome
    Junquera, Lucia
    Ferreira-Neto, Alfredo Nunes
    del Val, David
    Muntane-Carol, Guillem
    Mohammadi, Siamak
    Paradis, Jean-Michel
    Rodes-Cabau, Josep
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 74 (03) : 362 - 372
  • [6] Coronary computed tomography angiography-adapted Leaman score as a tool to noninvasively quantify total coronary atherosclerotic burden
    Goncalves, Pedro de Araujo
    Garcia-Garcia, Hector M.
    Dores, Helder
    Carvalho, Maria Salome
    Sousa, Pedro Jeronimo
    Marques, Hugo
    Ferreira, Antonio
    Cardim, Nuno
    Teles, Rui Campante
    Raposo, Luis
    Gabriel, Henrique Mesquita
    Almeida, Manuel Sousa
    Aleixo, Ana
    Carmo, Miguel Mota
    Machado, Francisco Pereira
    Mendes, Miguel
    [J]. INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2013, 29 (07) : 1575 - 1584
  • [7] CT imaging before transcatheter aortic valve implantation (TAVI) using variable helical pitch scanning and its diagnostic performance for coronary artery disease
    Matsumoto, Shunsuke
    Yamada, Yoshitake
    Hashimoto, Masahiro
    Okamura, Teppei
    Yamada, Minoru
    Yashima, Fumiaki
    Hayashida, Kentaro
    Fukuda, Keiichi
    Jinzaki, Masahiro
    [J]. EUROPEAN RADIOLOGY, 2017, 27 (05) : 1963 - 1970
  • [8] Long-Term Prognostic Effect of Coronary Atherosclerotic Burden Validation of the Computed Tomography-Leaman Score
    Mushtaq, Saima
    Goncalves, Pedro De Araujo
    Garcia-Garcia, Hector M.
    Pontone, Gianluca
    Bartorelli, Antonio L.
    Bertella, Erika
    Campos, Carlos M.
    Pepi, Mauro
    Serruys, Patrick W.
    Andreini, Daniele
    [J]. CIRCULATION-CARDIOVASCULAR IMAGING, 2015, 8 (02)
  • [9] Impact of coronary artery disease in patients undergoing transcatheter aortic valve replacement: Insights from the FRANCE-2 registry
    Puymirat, Etienne
    Didier, Romain
    Eltchaninoff, Helene
    Lung, Bernard
    Collet, Jean-Philippe
    Himbert, Dominique
    Durand, Eric
    Leguerrier, Alain
    Leprince, Pascal
    Fajadet, Jean
    Teiger, Emmanuel
    Chevreul, Karine
    Lievre, Michel
    Tchetche, Didier
    Leclercq, Florence
    Chassaing, Stephan
    Le Breton, Herve
    Donzeau-Gouge, Patrick
    Lefevre, Thierry
    Carrie, Didier
    Gillard, Martine
    Blanchard, Didier
    [J]. CLINICAL CARDIOLOGY, 2017, 40 (12) : 1316 - 1322
  • [10] The Rationale for Performance of Coronary Angiography and Stenting Before Transcatheter Aortic Valve Replacement From the Interventional Section Leadership Council of the American College of Cardiology
    Ramee, Stephen
    Anwaruddin, Saif
    Kumar, Gautam
    Piana, Robert N.
    Babaliaros, Vasilis
    Rab, Tanveer
    Klein, Lloyd W.
    [J]. JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (23) : 2371 - 2375