Transcatheter and Doppler waveform correlation in transcatheter aortic valve replacement

Figures

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  Figure 1. The systolic ejection period (SEP) in panel (i), from the end of isovolumic contraction to the beginning of ventricular diastole, corresponds to the ejection time (ET) in panel (iv). The duration of the aortic upstroke (solid red and green lines in panel (i)) corresponds to the acceleration time (AT) in panel (iv). The diastolic filling period (DFP) in panel (i), from aortic valve closure to mitral valve closure, corresponds to the period between the start of the E wave (early passive filling) to the end of the A wave (atrial contraction) of the mitral inflow Doppler waveforms in panel (ii). The p wave of the ECG corresponds to the A wave in panel (ii), while the R wave corresponds to the onset of ventricular systole, which occurs on mitral valve closure (blue dashed line). Panel (ii): pulse-wave (PW) Doppler at the tip of the mitral leaflets; panel (iii): PW Doppler in the left ventricular outflow tract; panel (iv): CW Doppler across the aortic valve. AVC, aortic valve closure; AVO, aortic valve opening; MVC, mitral valve closure; MVO, mitral valve opening; PCWP, pulmonary capillary wedge pressure; TAVR, transcatheter aortic valve replacement.

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  Figure 2. Ao, aorta; CF, color-flow; LV, left ventricle; LV EDP, left ventricular end-diastolic pressure; SBP, systolic blood pressure; TAVI, transcatheter aortic valve implantation; VE, ventricular ectopic.

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  Figure 3. Ao, aorta; CF, color-flow; Fem, femoral artery; LV, left ventricle; TAVR, transcatheter aortic valve replacement.

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  Figure 4. Ao, aorta; AR, aortic regurgitation; CFD, color-flow Doppler; LV, left ventricle; LV EDP, left ventricular end-diastolic pressure; PW, pulse-wave; TAVR, transcatheter aortic valve replacement.

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  Figure 5. Ao, aorta; CEOA, corrected effective orifice area; CFD, color-flow Doppler; CW, continuous-wave; DBP, diastolic blood pressure; LV EDP, left ventricular end-diastolic pressure; PW, pulse-wave; SBP, systolic blood pressure; TAVR, transcatheter aortic valve replacement; v-in-v, valve-in-valve.

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  Figure 6. Ao, aorta; AR, aortic regurgitation; CFD, color-flow Doppler; LV, left ventricle; LV EDP, left ventricular end-diastolic pressure; PW, pulse-wave; SBP, systolic blood pressure; TAVR, transcatheter aortic valve replacement.

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  Figure 7. Ao, aorta; CFD, color-flow Doppler; CW, continuous-wave; LV, left ventricle; LV EDP, left ventricular end-diastolic pressure; SBP, systolic blood pressure; TAVR, transcatheter aortic valve replacement.

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  Figure 8. Ao, aorta; LV, left ventricle; LV EDP, left ventricular end-diastolic pressure; TAVR, transcatheter aortic valve replacement.

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  Figure 9. Ao, aorta; LV, left ventricle; PW, pulse-wave; SBP, systolic blood pressure; TAVR, transcatheter aortic valve replacement.

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  Figure 10. Ao, aorta; ET, ejection time; LV, left ventricle; PW, pulse-wave; TAVR, transcatheter aortic valve replacement.