Key result
Matching PW sampling to LVOTd improves echocardiographic EOA measurement after self-expanding TAVI.
Why the study?
Effective orifice area is used to characterize transcatheter heart valve hemodynamic performance, but there is no consensus on its measurement for self-expanding valves.
Observational
p-value: p=<0.001
When measuring the effective orifice area of self-expanding transcatheter heart valves, the region of pulsed-wave Doppler sampling should match that of the LVOTd measurement with precise localization.
PW sampling must align with LVOTd for reliable EOA post self-expanding TAVI; leaves open standardized protocols pending validation.
BACKGROUND: The effective orifice area (EOA) is utilized to characterize the hemodynamic performance of the transcatheter heart valve (THV). However, there is no consensus on EOA measurement of self-expanding THV. We aimed to compare two echocardiographic methods for EOA measurement following transcatheter self-expanding aortic valve implantation. METHODS: ) was recorded by pulsed-wave Doppler (PW) from apical windows. The region of the PW sampling should match that of the LVOTd measurement with precise localization. The mean transvalvular pressure gradient (MG) and VTI of THV was measured by Continuous wave Doppler. RESULTS: < 0.001). CONCLUSIONS: should match that of the LVOTd measurement with precise localization.
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Wu et al. (2020) conducted an observational in Transcatheter self-expanding aortic valve implantation. Echocardiographic methods for EOA measurement was evaluated on Effective orifice area (EOA) measurement (p=<0.001). Echocardiographic methods for effective orifice area measurement following transcatheter self-expanding aortic valve implantation were compared (P<0.001), concluding PW sampling should match LVOTd.
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