Repositorio
Institucional

Pozo Osinalde, Eduardo

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

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

MDPI

JOURNAL OF CLINICAL MEDICINE

en

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.

artículo original

10.3390/jcm11092276

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mitral regurgitation

percutaneous edge-to-edge mitral repair

echocardiography

mitral regurgitation grading

follow up

VALVE REPAIR

ECHOCARDIOGRAPHY

OUTCOMES

SURGERY

SOCIETY

Medicina general e interna

regurgitación mitral

reparación mitral percutánea de borde a borde

ecocardiografía

clasificación de regurgitación mitral

seguimiento

REPARACIÓN DE VÁLVULA

ECOCARDIOGRAFÍA

RESULTADOS

CIRUGÍA

SOCIEDAD

Sistema Cardiovascular y Cardiaco

Tecnología Médica

Medicina General e Interna

version publicada

dorada

verde

acceso abierto

acceso abierto

WOS:000794517300001

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

artículo original

CC BY 4.0

CC BY 4.0