Assessment of Post-Procedural Aortic Regurgitation After TAVR: An Intraprocedural TEE Study

JACC. Cardiovascular Imaging
Hirotsugu MiharaTakahiro Shiota

Abstract

The purpose of this study was to determine which echocardiographic parameters, including holodiastolic flow reversal (HDFR) in the descending aorta, were useful for grading of post-procedural aortic regurgitation (PAR) after transcatheter aortic valve replacement (TAVR) using intraprocedural transesophageal echocardiography. Reliable assessment of PAR in a catheterization laboratory is essential for an optimal outcome after TAVR; however, such an assessment has not been determined. Three hundred eighty patients who underwent TAVR with the Edwards (Irvine, California) balloon-expandable transcatheter heart valve were retrospectively assessed by intraprocedural transesophageal echocardiography. PAR was evaluated by 2-dimensional color Doppler and pulse-wave Doppler in the descending aorta. Using 2-dimensional color Doppler, we measured the cross-sectional area of the vena contracta, the circumferential extent at the aortic annular plane, the longitudinal jet length, and the jet extent (with a mosaic pattern in the left ventricular outflow tract) compared with the location of the tip of the anterior mitral leaflet (AML). Grading of PAR was determined using the following vena contracta cutoffs: mild ≤9 mm(2); moderate 10 to 29 mm(2...Continue Reading

References

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Citations

Oct 16, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Takahiro Shiota
May 27, 2016·European Heart Journal Cardiovascular Imaging·Mohammad AbdelghaniPatrick W Serruys
Jul 29, 2016·The International Journal of Cardiovascular Imaging·Mohammad AbdelghaniOsama I I Soliman
Apr 15, 2016·European Heart Journal·Mohammad AbdelghaniPatrick W Serruys
Jan 22, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mohammad AbdelghaniPatrick W Serruys
Jul 12, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Mohammad AbdelghaniFabio S de Brito
May 16, 2018·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroki TateishiPatrick W Serruys
Feb 9, 2018·Echocardiography·Edgar Argulian, Karthik Seetharam
Jan 5, 2017·Echocardiography·Vladislavs SokalskisLuigi Paolo Badano
Jul 5, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Sebastian BarthKarsten Hamm
Mar 26, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Masashi OtaYoshihiro J Akashi
Apr 20, 2021·European Heart Journal·UNKNOWN VARC-3 WRITING COMMITTEEMartin B Leon
Apr 24, 2021·Journal of the American College of Cardiology·UNKNOWN VARC-3 WRITING COMMITTEE:Martin B Leon
Apr 15, 2016·Circulation. Cardiovascular Interventions·Mohammad Abdelghani, Patrick W Serruys

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