Matches in SemOpenAlex for { <https://semopenalex.org/work/W1968926377> ?p ?o ?g. }
- W1968926377 endingPage "414" @default.
- W1968926377 startingPage "406" @default.
- W1968926377 abstract "Background Computed tomography (CT) annular measurements are predictive of paravalvular regurgitation after transcatheter aortic valve replacement (TAVR) which is a predictor of mortality and morbidity. Objectives To demonstrate the rationale and potential implications of new CT sizing recommendations for TAVR. Methods The CT sizing recommendations aim to ensure routine transcatheter heart valve (THV) oversizing of the aortic annular area [(THV external area/systolic annular area − 1) × 100; range, 1%–20%; target, 10%–15%]. Consecutive patients (n = 120) underwent CT before TAVR with balloon-expandable valves sized by transesophageal echocardiography (TEE). Retrospectively, the CT-recommended THV size was compared with the actual size implanted. Results Compared with TEE, application of the newly developed CT-based sizing recommendations would have led to implantation of a larger valve in 33.3% (40/120), no change in valve size in 55.8% (67/120), and a smaller valve in 10.8% (13/120). In patients when CT recommended a larger valve, the incidence of at least moderate paravalvular regurgitation was 25% (10/40) compared with 4.5% (3/67; P < 0.01) when both TEE and CT recommendations were in agreement. Using diastolic versus systolic CT measurements results in 20% of patients receiving smaller THVs. TEE sizing resulted in 33.3% (40/120) of valves being undersized (THV area < CT systolic annular area) with a mean annular oversizing of 9.4% ± 17.4% (range: −21.5% to 65.9%) without annular rupture. In contrast, the CT sizing recommendations results in mean annular oversizing of 13.9% ± 8.0% (range, 1.3%–29.8%). Conclusion These CT sizing recommendations enable standardized moderate overexpansion of the aortic annulus. Clinical outcomes from these recommendations are being prospectively assessed in a multicenter trial. Computed tomography (CT) annular measurements are predictive of paravalvular regurgitation after transcatheter aortic valve replacement (TAVR) which is a predictor of mortality and morbidity. To demonstrate the rationale and potential implications of new CT sizing recommendations for TAVR. The CT sizing recommendations aim to ensure routine transcatheter heart valve (THV) oversizing of the aortic annular area [(THV external area/systolic annular area − 1) × 100; range, 1%–20%; target, 10%–15%]. Consecutive patients (n = 120) underwent CT before TAVR with balloon-expandable valves sized by transesophageal echocardiography (TEE). Retrospectively, the CT-recommended THV size was compared with the actual size implanted. Compared with TEE, application of the newly developed CT-based sizing recommendations would have led to implantation of a larger valve in 33.3% (40/120), no change in valve size in 55.8% (67/120), and a smaller valve in 10.8% (13/120). In patients when CT recommended a larger valve, the incidence of at least moderate paravalvular regurgitation was 25% (10/40) compared with 4.5% (3/67; P < 0.01) when both TEE and CT recommendations were in agreement. Using diastolic versus systolic CT measurements results in 20% of patients receiving smaller THVs. TEE sizing resulted in 33.3% (40/120) of valves being undersized (THV area < CT systolic annular area) with a mean annular oversizing of 9.4% ± 17.4% (range: −21.5% to 65.9%) without annular rupture. In contrast, the CT sizing recommendations results in mean annular oversizing of 13.9% ± 8.0% (range, 1.3%–29.8%). These CT sizing recommendations enable standardized moderate overexpansion of the aortic annulus. Clinical outcomes from these recommendations are being prospectively assessed in a multicenter trial." @default.
- W1968926377 created "2016-06-24" @default.
- W1968926377 creator A5000568658 @default.
- W1968926377 creator A5005007989 @default.
- W1968926377 creator A5013679521 @default.
- W1968926377 creator A5017421320 @default.
- W1968926377 creator A5024793425 @default.
- W1968926377 creator A5025302590 @default.
- W1968926377 creator A5032700450 @default.
- W1968926377 creator A5037110756 @default.
- W1968926377 creator A5040339119 @default.
- W1968926377 creator A5069050073 @default.
- W1968926377 creator A5072392852 @default.
- W1968926377 creator A5073832696 @default.
- W1968926377 creator A5075242638 @default.
- W1968926377 creator A5077926834 @default.
- W1968926377 date "2012-11-01" @default.
- W1968926377 modified "2023-10-18" @default.
- W1968926377 title "Computed tomography–based sizing recommendations for transcatheter aortic valve replacement with balloon-expandable valves: Comparison with transesophageal echocardiography and rationale for implementation in a prospective trial" @default.
- W1968926377 cites W13264575 @default.
- W1968926377 cites W1987271654 @default.
- W1968926377 cites W2020292999 @default.
- W1968926377 cites W2090320813 @default.
- W1968926377 cites W2098094997 @default.
- W1968926377 cites W2102352001 @default.
- W1968926377 cites W2149609916 @default.
- W1968926377 cites W2150047811 @default.
- W1968926377 cites W2153820409 @default.
- W1968926377 cites W2165258820 @default.
- W1968926377 cites W2166973706 @default.
- W1968926377 cites W2724489198 @default.
- W1968926377 cites W64335975 @default.
- W1968926377 cites W77032413 @default.
- W1968926377 cites W94472960 @default.
- W1968926377 doi "https://doi.org/10.1016/j.jcct.2012.10.002" @default.
- W1968926377 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23127390" @default.
- W1968926377 hasPublicationYear "2012" @default.
- W1968926377 type Work @default.
- W1968926377 sameAs 1968926377 @default.
- W1968926377 citedByCount "93" @default.
- W1968926377 countsByYear W19689263772013 @default.
- W1968926377 countsByYear W19689263772014 @default.
- W1968926377 countsByYear W19689263772015 @default.
- W1968926377 countsByYear W19689263772016 @default.
- W1968926377 countsByYear W19689263772017 @default.
- W1968926377 countsByYear W19689263772018 @default.
- W1968926377 countsByYear W19689263772019 @default.
- W1968926377 countsByYear W19689263772020 @default.
- W1968926377 countsByYear W19689263772021 @default.
- W1968926377 countsByYear W19689263772022 @default.
- W1968926377 countsByYear W19689263772023 @default.
- W1968926377 crossrefType "journal-article" @default.
- W1968926377 hasAuthorship W1968926377A5000568658 @default.
- W1968926377 hasAuthorship W1968926377A5005007989 @default.
- W1968926377 hasAuthorship W1968926377A5013679521 @default.
- W1968926377 hasAuthorship W1968926377A5017421320 @default.
- W1968926377 hasAuthorship W1968926377A5024793425 @default.
- W1968926377 hasAuthorship W1968926377A5025302590 @default.
- W1968926377 hasAuthorship W1968926377A5032700450 @default.
- W1968926377 hasAuthorship W1968926377A5037110756 @default.
- W1968926377 hasAuthorship W1968926377A5040339119 @default.
- W1968926377 hasAuthorship W1968926377A5069050073 @default.
- W1968926377 hasAuthorship W1968926377A5072392852 @default.
- W1968926377 hasAuthorship W1968926377A5073832696 @default.
- W1968926377 hasAuthorship W1968926377A5075242638 @default.
- W1968926377 hasAuthorship W1968926377A5077926834 @default.
- W1968926377 hasConcept C126322002 @default.
- W1968926377 hasConcept C126838900 @default.
- W1968926377 hasConcept C139059822 @default.
- W1968926377 hasConcept C142362112 @default.
- W1968926377 hasConcept C153349607 @default.
- W1968926377 hasConcept C164705383 @default.
- W1968926377 hasConcept C2776229121 @default.
- W1968926377 hasConcept C2777767291 @default.
- W1968926377 hasConcept C2780007028 @default.
- W1968926377 hasConcept C2780026749 @default.
- W1968926377 hasConcept C2780168065 @default.
- W1968926377 hasConcept C2780714102 @default.
- W1968926377 hasConcept C544519230 @default.
- W1968926377 hasConcept C71924100 @default.
- W1968926377 hasConceptScore W1968926377C126322002 @default.
- W1968926377 hasConceptScore W1968926377C126838900 @default.
- W1968926377 hasConceptScore W1968926377C139059822 @default.
- W1968926377 hasConceptScore W1968926377C142362112 @default.
- W1968926377 hasConceptScore W1968926377C153349607 @default.
- W1968926377 hasConceptScore W1968926377C164705383 @default.
- W1968926377 hasConceptScore W1968926377C2776229121 @default.
- W1968926377 hasConceptScore W1968926377C2777767291 @default.
- W1968926377 hasConceptScore W1968926377C2780007028 @default.
- W1968926377 hasConceptScore W1968926377C2780026749 @default.
- W1968926377 hasConceptScore W1968926377C2780168065 @default.
- W1968926377 hasConceptScore W1968926377C2780714102 @default.
- W1968926377 hasConceptScore W1968926377C544519230 @default.
- W1968926377 hasConceptScore W1968926377C71924100 @default.
- W1968926377 hasIssue "6" @default.
- W1968926377 hasLocation W19689263771 @default.
- W1968926377 hasLocation W19689263772 @default.
- W1968926377 hasOpenAccess W1968926377 @default.