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Predictive value for paravalvular regurgitation of 3-dimensional anatomic aortic annulus shape assessed by multidetector computed tomography post-transcatheter aortic valve replacement
Author(s) -
Vlad Ciobotaru,
Eric Maupas,
Nicolas Dürrleman,
Jean-Marc Boulenc,
Augustin Borton,
Pénélope Pujadas-Berthault,
Philippe Rioux,
A. Maubon
Publication year - 2015
Publication title -
european heart journal - cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.576
H-Index - 92
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ehjci/jev128
Subject(s) - medicine , multidetector computed tomography , cardiac skeleton , valve replacement , aortic valve , regurgitation (circulation) , area under the curve , cardiology , hounsfield scale , aortic valve replacement , vena contracta , radiology , nuclear medicine , computed tomography , stenosis
Paravalvular regurgitation (PAR) remains a serious complication after trans-catheter aortic valve replacement (TAVR). Multidetector computed tomography (MDCT)-based measurements of the aortic basal virtual ring (BVR) are considered the gold standard for trans-catheter heart valve (THV) sizing. However, the real anatomic aortic annulus is a 3-dimensional structure. To compare measurement of 3D-anatomic annulus with BVR and secondly to assess independent predictive parameters that may impact on PAR > mild post-TAVR (PAR+).

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