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July 1, 2015Circulation Cardiovascular ImagingOpen Access

Comparison of 2-Dimensional, 3-Dimensional, and Surgical Measurements of the Tricuspid Annulus Size

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Why the study?

Does 2D-TTE accurately measure tricuspid annulus size compared to 3D-TEE and surgical measurements?

Population

282 patients undergoing echocardiography, a subset of 183 undergoing 3D-TEE, 120 undergoing tricuspid valve…

Comparison

Measurement of tricuspid annulus diameter using… vs Measurement of TAD using 3-dimensional…

Design

Cohort

Authors

Julien Dreyfus
Julien DreyfusInterventional / Structural Cardiology
GDGuillaume Durand-VielUniversité Claude Bernard Lyon 1RRRichard RaffoulAssistance Publique – Hôpitaux de Paris

Discussion

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Overview

TAD by 2D-TTE varies by view in left-heart valve patients; leaves open standardized thresholds for tricuspid annuloplasty decisions.

Structured PICO

Does 2D-TTE accurately measure tricuspid annulus size compared to 3D-TEE and surgical measurements?

P
Population
282 patients undergoing echocardiography, a subset of 183 undergoing 3D-TEE, 120 undergoing tricuspid valve surgery, and 66 healthy volunteers.
I
Intervention
Measurement of tricuspid annulus diameter (TAD) using 2-dimensional transthoracic echocardiography (2D-TTE) across 4 different views.
C
Comparator
Measurement of TAD using 3-dimensional transesophageal echocardiography (3D-TEE) and direct surgical measurement.
O
Outcome
Tricuspid annulus diameter (TAD) measurement differences, feasibility, reproducibility, and correlation between modalities.surrogate

2D-TTE in the apical 4-chamber view is highly feasible and reproducible for measuring tricuspid annulus size, accurately reflecting 3D-TEE measurements despite a systematic 4-mm underestimation.

Cite This Study

Dreyfus et al. (2015) studied this question.

synapsesocial.com/papers/6a76dec0576efb0ddaf6e565https://doi.org/10.1161/circimaging.114.003241
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