Matches in SemOpenAlex for { <https://semopenalex.org/work/W3119607843> ?p ?o ?g. }
- W3119607843 endingPage "613" @default.
- W3119607843 startingPage "604" @default.
- W3119607843 abstract "•First application of a standardized fluoroscopic-echocardiographic FI protocol for TMVr.•FI may be particularly useful for challenging TSP, navigation in the left atrium and axial alignment.•FI compared to standard intraprocedural imaging reduces fluoroscopy time.•FI improves procedural results in a population with high prevalence of complex mitral anatomies. BackgroundWhether fluoroscopic-echocardiographic fusion imaging (FI) might offer added value for intraprocedural guidance during transcatheter edge-to-edge mitral valve repair is yet unknown, and few data exist regarding the safety and feasibility of this novel technology.MethodsThe aim of this single-center study was to test and validate a FI protocol for intraprocedural monitoring of transcatheter edge-to-edge mitral valve repair and assess its clinical usefulness. Eighty patients underwent MitraClip implantation using FI guidance (FI+) for either degenerative (35%) or functional (65%) mitral regurgitation and were compared with the last 80 patients before FI introduction, treated using conventional echocardiography and fluoroscopic monitoring (FI−).ResultsThe number of patients treated for functional and degenerative mitral regurgitation was similar between the FI+ and FI− groups, as well as the number of devices implanted (1.51 ± 0.5 vs 1.58 ± 0.6, P = .46). The prevalence of complex mitral anatomy for percutaneous repair was high (32.5%, up to 39.2% in the hybrid arm). Fluoroscopy time was significantly lower in FI+ patients (37.3 ± 14.6 vs 48.3 ± 28.3 min, P = .003), but not kerma area product (91.5 ± 74.1 vs 108.8 ± 105.0 Gy · cm2, P = .23) or procedural time (92.2 ± 36.1 vs 103.1 ± 42.7 min, P = .086). After adjusting for confounding factors (MitraClip XT device and complex anatomy), FI reduced fluoroscopy time (coefficient = −10.4 min; 95% CI, −18.03 to −2.82; P = .007) and improved procedural success at the end of the procedure (odds ratio, 2.87; 95% CI, 1.00 to 8.24; P = .049) and discharge (odds ratio, 2.24; 95% CI, 1.04 to 4.80; P = .039). Rates of periprocedural complications were similar in both groups (8.9% vs 13.0%, P = .40).ConclusionsThe authors describe the systematic use of an FI protocol for intraprocedural guidance during transcatheter edge-to-edge mitral valve repair, demonstrating a reduction in fluoroscopy time and an improvement in procedural success in a population with a high prevalence of challenging mitral anatomy for percutaneous repair. Whether fluoroscopic-echocardiographic fusion imaging (FI) might offer added value for intraprocedural guidance during transcatheter edge-to-edge mitral valve repair is yet unknown, and few data exist regarding the safety and feasibility of this novel technology. The aim of this single-center study was to test and validate a FI protocol for intraprocedural monitoring of transcatheter edge-to-edge mitral valve repair and assess its clinical usefulness. Eighty patients underwent MitraClip implantation using FI guidance (FI+) for either degenerative (35%) or functional (65%) mitral regurgitation and were compared with the last 80 patients before FI introduction, treated using conventional echocardiography and fluoroscopic monitoring (FI−). The number of patients treated for functional and degenerative mitral regurgitation was similar between the FI+ and FI− groups, as well as the number of devices implanted (1.51 ± 0.5 vs 1.58 ± 0.6, P = .46). The prevalence of complex mitral anatomy for percutaneous repair was high (32.5%, up to 39.2% in the hybrid arm). Fluoroscopy time was significantly lower in FI+ patients (37.3 ± 14.6 vs 48.3 ± 28.3 min, P = .003), but not kerma area product (91.5 ± 74.1 vs 108.8 ± 105.0 Gy · cm2, P = .23) or procedural time (92.2 ± 36.1 vs 103.1 ± 42.7 min, P = .086). After adjusting for confounding factors (MitraClip XT device and complex anatomy), FI reduced fluoroscopy time (coefficient = −10.4 min; 95% CI, −18.03 to −2.82; P = .007) and improved procedural success at the end of the procedure (odds ratio, 2.87; 95% CI, 1.00 to 8.24; P = .049) and discharge (odds ratio, 2.24; 95% CI, 1.04 to 4.80; P = .039). Rates of periprocedural complications were similar in both groups (8.9% vs 13.0%, P = .40). The authors describe the systematic use of an FI protocol for intraprocedural guidance during transcatheter edge-to-edge mitral valve repair, demonstrating a reduction in fluoroscopy time and an improvement in procedural success in a population with a high prevalence of challenging mitral anatomy for percutaneous repair." @default.
- W3119607843 created "2021-01-18" @default.
- W3119607843 creator A5004321997 @default.
- W3119607843 creator A5015795674 @default.
- W3119607843 creator A5024321268 @default.
- W3119607843 creator A5030334321 @default.
- W3119607843 creator A5030343009 @default.
- W3119607843 creator A5030719419 @default.
- W3119607843 creator A5036859659 @default.
- W3119607843 creator A5045406336 @default.
- W3119607843 creator A5052228925 @default.
- W3119607843 creator A5054565426 @default.
- W3119607843 creator A5061168954 @default.
- W3119607843 creator A5062170790 @default.
- W3119607843 creator A5072766646 @default.
- W3119607843 creator A5081019858 @default.
- W3119607843 date "2021-06-01" @default.
- W3119607843 modified "2023-10-17" @default.
- W3119607843 title "Systematic Fluoroscopic-Echocardiographic Fusion Imaging Protocol for Transcatheter Edge-to-Edge Mitral Valve Repair Intraprocedural Monitoring" @default.
- W3119607843 cites W1636949889 @default.
- W3119607843 cites W1739325045 @default.
- W3119607843 cites W1899917347 @default.
- W3119607843 cites W2058074706 @default.
- W3119607843 cites W2079168082 @default.
- W3119607843 cites W2177458713 @default.
- W3119607843 cites W2275751388 @default.
- W3119607843 cites W2305591218 @default.
- W3119607843 cites W2342848495 @default.
- W3119607843 cites W2395439178 @default.
- W3119607843 cites W2419059245 @default.
- W3119607843 cites W2561943656 @default.
- W3119607843 cites W2610593164 @default.
- W3119607843 cites W2624278936 @default.
- W3119607843 cites W2766625549 @default.
- W3119607843 cites W2801126369 @default.
- W3119607843 cites W2890143475 @default.
- W3119607843 cites W2916659012 @default.
- W3119607843 cites W2942352388 @default.
- W3119607843 cites W2951513903 @default.
- W3119607843 cites W2953964989 @default.
- W3119607843 cites W3012280380 @default.
- W3119607843 doi "https://doi.org/10.1016/j.echo.2021.01.010" @default.
- W3119607843 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33453367" @default.
- W3119607843 hasPublicationYear "2021" @default.
- W3119607843 type Work @default.
- W3119607843 sameAs 3119607843 @default.
- W3119607843 citedByCount "5" @default.
- W3119607843 countsByYear W31196078432021 @default.
- W3119607843 countsByYear W31196078432022 @default.
- W3119607843 countsByYear W31196078432023 @default.
- W3119607843 crossrefType "journal-article" @default.
- W3119607843 hasAuthorship W3119607843A5004321997 @default.
- W3119607843 hasAuthorship W3119607843A5015795674 @default.
- W3119607843 hasAuthorship W3119607843A5024321268 @default.
- W3119607843 hasAuthorship W3119607843A5030334321 @default.
- W3119607843 hasAuthorship W3119607843A5030343009 @default.
- W3119607843 hasAuthorship W3119607843A5030719419 @default.
- W3119607843 hasAuthorship W3119607843A5036859659 @default.
- W3119607843 hasAuthorship W3119607843A5045406336 @default.
- W3119607843 hasAuthorship W3119607843A5052228925 @default.
- W3119607843 hasAuthorship W3119607843A5054565426 @default.
- W3119607843 hasAuthorship W3119607843A5061168954 @default.
- W3119607843 hasAuthorship W3119607843A5062170790 @default.
- W3119607843 hasAuthorship W3119607843A5072766646 @default.
- W3119607843 hasAuthorship W3119607843A5081019858 @default.
- W3119607843 hasBestOaLocation W31196078431 @default.
- W3119607843 hasConcept C126322002 @default.
- W3119607843 hasConcept C126838900 @default.
- W3119607843 hasConcept C164705383 @default.
- W3119607843 hasConcept C2776805002 @default.
- W3119607843 hasConcept C2777543888 @default.
- W3119607843 hasConcept C2778198053 @default.
- W3119607843 hasConcept C2779161974 @default.
- W3119607843 hasConcept C2780793704 @default.
- W3119607843 hasConcept C2780813298 @default.
- W3119607843 hasConcept C2909944400 @default.
- W3119607843 hasConcept C2989005 @default.
- W3119607843 hasConcept C2993373945 @default.
- W3119607843 hasConcept C71924100 @default.
- W3119607843 hasConcept C78085059 @default.
- W3119607843 hasConceptScore W3119607843C126322002 @default.
- W3119607843 hasConceptScore W3119607843C126838900 @default.
- W3119607843 hasConceptScore W3119607843C164705383 @default.
- W3119607843 hasConceptScore W3119607843C2776805002 @default.
- W3119607843 hasConceptScore W3119607843C2777543888 @default.
- W3119607843 hasConceptScore W3119607843C2778198053 @default.
- W3119607843 hasConceptScore W3119607843C2779161974 @default.
- W3119607843 hasConceptScore W3119607843C2780793704 @default.
- W3119607843 hasConceptScore W3119607843C2780813298 @default.
- W3119607843 hasConceptScore W3119607843C2909944400 @default.
- W3119607843 hasConceptScore W3119607843C2989005 @default.
- W3119607843 hasConceptScore W3119607843C2993373945 @default.
- W3119607843 hasConceptScore W3119607843C71924100 @default.
- W3119607843 hasConceptScore W3119607843C78085059 @default.
- W3119607843 hasIssue "6" @default.
- W3119607843 hasLocation W31196078431 @default.
- W3119607843 hasOpenAccess W3119607843 @default.
- W3119607843 hasPrimaryLocation W31196078431 @default.