Patient-Specific Computer Simulation in TAVR With the Self-Expanding Evolut R Valve.

JACC. Cardiovascular Interventions
N El FaquirP P de Jaegere

Abstract

The aim of this study was to assess the added value and predictive power of the TAVIguide (Added Value of Patient-Specific Computer Simulation in Transcatheter Aortic Valve Implantation) software in clinical practice. Optimal outcome after transcatheter aortic valve replacement (TAVR) may become more important as TAVR shifts toward low-risk patients. Patient-specific computer simulation is able to provide prediction of outcome after TAVR. Its clinical role and validation of accuracy, however, have not yet been studied prospectively. A prospective, observational, multicenter study was conducted among 80 patients with severe aortic stenosis treated with the Evolut R valve. Simulation was performed in 42 patients and no simulation in 38. A comparison between the valve size (decision 1) and target depth of implantation selected by the operator on the basis of multislice computed tomography and the valve size (decision 2) and target depth of implantation selected after simulation were the primary endpoints. Predictive power was examined by comparing the simulated and observed degree of aortic regurgitation. Decision 2 differed from decision 1 in 1 of 42 patients because of predicted paravalvular leakage, and changes in valve type oc...Continue Reading

References

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Jan 21, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Carl SchultzPeter de Jaegere
Mar 12, 2016·JACC. Cardiovascular Interventions·Peter de JaegerePeter Mortier
Nov 27, 2016·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·N El FaquirP P de Jaegere
Mar 19, 2019·The New England Journal of Medicine·Jeffrey J PopmaUNKNOWN Evolut Low Risk Trial Investigators
Mar 19, 2019·The New England Journal of Medicine·Michael J MackUNKNOWN PARTNER 3 Investigators
Sep 2, 2019·JACC. Cardiovascular Interventions·Hasan JilaihawiMathew Williams
Oct 9, 2019·Circulation. Cardiovascular Imaging·Cameron DowlingStephen J Brecker
Oct 21, 2019·JACC. Cardiovascular Interventions·Cameron DowlingStephen J Brecker

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Citations

Feb 14, 2021·Trends in Cardiovascular Medicine·Joana Maria RibeiroPeter Pt de Jaegere
Jul 20, 2020·JACC. Cardiovascular Interventions·Pascal Thériault-LauzierNicoló Piazza

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