Correlation of Intraprocedural and Follow Up Parameters for Mitral Regurgitation Grading after Percutaneous Edge-to-Edge Repair

Primer Autor
Pozo Osinalde, Eduardo
Co-autores
Salinas Gallegos, Alejandra
Gordillo, Ximena
Nombela Franco, Luis
Marcos-Alberca, Pedro
Mahia, Patricia
Tirado-Conte, Gabriela
Gomez de Diego, Jose Juan
Jimenez Quevedo, Pilar
Fernandez-Ortiz, Antonio
Perez-Villacastin, Julian
de Agustin Loeches, Jose Alberto
Título
Correlation of Intraprocedural and Follow Up Parameters for Mitral Regurgitation Grading after Percutaneous Edge-to-Edge Repair
Editorial
MDPI
Revista
JOURNAL OF CLINICAL MEDICINE
Lenguaje
en
Resumen
Background: There is no consensus on the best intraprocedural parameter to evaluate residual mitral regurgitation (MR) after transcatheter edge-to-edge mitral repair (TEER). Thus, our aim was to evaluate the predictive value of different MR parameters from intraprocedural transesophageal echocardiogram (TEE) for grading in consecutive transthoracic echocardiogram (TTE) during the follow up. Methods: All the consecutive patients who underwent TEER with MitraClip between 2010 and 2020 in our center were considered. TEE-derived immediate postprocedural MR parameters were reassessed to blindly compare them with follow up MR grading in sequential TTE. Results: We finally included 88 patients (64.8% males, 76 +/- 10 years-old). Significant MR was detected in 14.3% of the cases at 6 months, in similar proportion than at postprocedural at 1 month. Among all the intraprocedural TEE quantitative parameters only additive and maximum VC were associated with significant MR persistence. Moreover, on ROC analysis maximum VC demonstrated an excellent discriminatory power (AUC 0.96, p < 0.001) to identify MR >= III at 6 months. Thus, a cut-off point of 0.45 cm demonstrated 88% sensitivity and 89% specificity. Conclusion: Among intraprocedural TEE parameters to evaluate residual MR in TEER, maximum and additive VC were the most reliable to predict persistence of significant insufficiency.
Tipo de Recurso
artículo original
doi
10.3390/jcm11092276
Formato Recurso
PDF
Palabras Claves
mitral regurgitation
percutaneous edge-to-edge mitral repair
echocardiography
mitral regurgitation grading
follow up
VALVE REPAIR
ECHOCARDIOGRAPHY
OUTCOMES
SURGERY
SOCIETY
Ubicación del archivo
http://dx.doi.org/10.3390/jcm11092276
Categoría OCDE
Medicina general e interna
Materias
regurgitación mitral
reparación mitral percutánea de borde a borde
ecocardiografía
clasificación de regurgitación mitral
seguimiento
REPARACIÓN DE VÁLVULA
ECOCARDIOGRAFÍA
RESULTADOS
CIRUGÍA
SOCIEDAD
Disciplinas de la OCDE
Sistema Cardiovascular y Cardiaco
Tecnología Médica
Medicina General e Interna
Título de la cita (Recomendado-único)
Correlation of Intraprocedural and Follow Up Parameters for Mitral Regurgitation Grading after Percutaneous Edge-to-Edge Repair
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
version publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000794517300001
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