Limitations and difficulties of echocardiographic short-axis assessment of paravalvular leakage after corevalve transcatheter aortic valve implantation.
To make assessment of paravalvular aortic leakage (PVL) after transcatheter aortic valve implantation (TAVI) more uniform the second Valve Academic Research Consortium (VARC) recently updated the echocardiographic criteria for mild, moderate and severe PVL. In the VARC recommendation the assessment of the circumferential extent of PVL in the short-axis view is considered critical. In this paper we will discuss our observational data on the limitations and difficulties of this particular view, that may potentially result in overestimation or underestimation of PVL severity.
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands. m.geleijnse@erasmusmc.nl.
Marcel L
ML
Geleijnse
From the department of Cardiology, Ospedali Riuniti, Università degli Studi di Foggia, Foggia, Italy.
Luigi F M
LF
Di Martino
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.
Wim B
WB
Vletter
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.
Ben
B
Ren
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.
Tjebbe W
TW
Galema
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.
Nicolas M
NM
Van Mieghem
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.
Peter P T
PP
de Jaegere
From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.|From the Cardialysis Cardiovascular Core Laboratory, Rotterdam, The Netherlands.
Osama I I
OI
Soliman
D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012307:Risk Factors; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*
Aortic valve; Echocardiography; Paravalvular; Regurgitation