دورية أكاديمية

Quantification of mitral regurgitation during percutaneous mitral valve repair: added value of simultaneous hemodynamic and 3D echocardiographic assessment.

التفاصيل البيبلوغرافية
العنوان: Quantification of mitral regurgitation during percutaneous mitral valve repair: added value of simultaneous hemodynamic and 3D echocardiographic assessment.
المؤلفون: Rohm I; Divisions of Cardiology, Angiology, Pneumology, and Intensive Medical Care, Department of Internal Medicine 1, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07740, Jena, Germany. ilonka.rohm@med.uni-jena.de., Poerner TC; Divisions of Cardiology, Angiology, Pneumology, and Intensive Medical Care, Department of Internal Medicine 1, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07740, Jena, Germany., Hamadanchi A; Divisions of Cardiology, Angiology, Pneumology, and Intensive Medical Care, Department of Internal Medicine 1, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07740, Jena, Germany., Otto S; Divisions of Cardiology, Angiology, Pneumology, and Intensive Medical Care, Department of Internal Medicine 1, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07740, Jena, Germany., Doenst T; Department of Cardiothoracic Surgery, Jena University Hospital-Friedrich Schiller University of Jena, Erlanger Allee 101, 07747, Jena, Germany., Jung C; Department of Medicine, Division of Cardiology, Pulmonary Diseases and Vascular Medicine, University Hospital Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany., Schulze PC; Divisions of Cardiology, Angiology, Pneumology, and Intensive Medical Care, Department of Internal Medicine 1, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07740, Jena, Germany., Goebel B; Divisions of Cardiology, Angiology, Pneumology, and Intensive Medical Care, Department of Internal Medicine 1, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07740, Jena, Germany.
المصدر: The international journal of cardiovascular imaging [Int J Cardiovasc Imaging] 2017 Oct; Vol. 33 (10), pp. 1531-1539. Date of Electronic Publication: 2017 May 11.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 100969716 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1875-8312 (Electronic) Linking ISSN: 15695794 NLM ISO Abbreviation: Int J Cardiovasc Imaging Subsets: MEDLINE
أسماء مطبوعة: Publication: [New York] : Springer
Original Publication: Boston : Kluwer Academic Publishers, c2001-
مواضيع طبية MeSH: Cardiac Catheterization* , Cardiac Surgical Procedures*/instrumentation , Echocardiography, Doppler, Color* , Echocardiography, Three-Dimensional* , Echocardiography, Transesophageal* , Hemodynamics*, Mitral Valve/*diagnostic imaging , Mitral Valve/*surgery , Mitral Valve Insufficiency/*diagnostic imaging , Mitral Valve Insufficiency/*surgery , Monitoring, Intraoperative/*methods, Aged ; Aged, 80 and over ; Area Under Curve ; Atrial Function, Left ; Atrial Pressure ; Blood Pressure ; Cross-Sectional Studies ; Female ; Humans ; Male ; Mitral Valve/physiopathology ; Mitral Valve Insufficiency/physiopathology ; Predictive Value of Tests ; ROC Curve ; Severity of Illness Index ; Treatment Outcome ; Ventricular Function, Left ; Ventricular Pressure
مستخلص: The objective of this study was to investigate the usefulness of intraprocedural hemodynamic monitoring for MR evaluation during pMRV. Assessment of mitral regurgitation (MR) during percutaneous mitral valve repair (pMVR) procedure is challenging. 3D color Doppler allows exact quantification of MR, but is technically demanding. Sixty patients with moderate to severe MR (14 with structural and 46 functional MR) were included in the study. Intraprocedural pressure curves were continuously obtained in the left atrium (LA) and left ventricle (LV). Transesophageal echocardiography was performed using 3D color Doppler derived mean vena contracta area (VCA mean ) and mitral regurgitation volume (RegVol) to quantify MR severity before and after each clip implantation. In the entire patient group, strongest correlations were observed firstly between VCA and the raise of the ascending limb of the left atrial V pressure wave (V ascend ; r = 0.58, p < 0.001) and secondly between the difference of peak V wave pressure and mean LA pressure divided by systolic LV pressure [(V peak  - LA mean ) - LV systole ; r = 0.53, p < 0.001]. In patients with structural MR, the highest area under the ROC curve for prediction of mild MR (VCA mean < 0.2 cm² and RegVol < 30 ml) after clip implantation was found for V ascend (AUC 0.89, p < 0.001) whereas in functional MR calculation of (V peak  - LA mean ) - LV systole showed the highest predictive value (AUC 0.69, p = 0.003). Invasive pressure monitoring can give a direct feedback with regard to the success of clip placement during pMVR.
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فهرسة مساهمة: Keywords: 3D color Doppler echocardiography; Invasive pressure monitoring; Mitral regurgitation; V wave; Vena contracta area
تواريخ الأحداث: Date Created: 20170513 Date Completed: 20180105 Latest Revision: 20181113
رمز التحديث: 20231215
DOI: 10.1007/s10554-017-1153-8
PMID: 28497189
قاعدة البيانات: MEDLINE
الوصف
تدمد:1875-8312
DOI:10.1007/s10554-017-1153-8