June 23, 2022European Heart Journal - Cardiovascular Imaging50 citationsOpen Access
View Full PaperImpact of correcting the 2D PISA method on the quantification of functional tricuspid regurgitation severity
Structured PICO
Does correcting the 2D PISA method for TV leaflets tethering angle and lower velocity of FTR jet improve the accuracy of functional tricuspid regurgitation severity quantification compared to conventional PISA?
P
Population
Patients with functional tricuspid regurgitation (FTR)
I
Intervention
Corrected 2D PISA method (correction for TV leaflets tethering angle and lower velocity of FTR jet)
C
Comparator
Conventional 2D PISA method and VM by 3DE
O
Outcome
Accuracy of FTR severity quantificationsurrogate
Correcting the 2D PISA method for tethering angle and jet velocity significantly improves the accuracy of functional tricuspid regurgitation severity assessment and reclassifies over a third of patients.
Abstract
Compared with VM by 3DE, the conventional PISA underestimated FTR severity in about 50% of patients. Correction for TV leaflets tethering angle and lower velocity of FTR jet improved 2D PISA accuracy and reclassified more than one-third of the patients.