The change in mitral regurgitation severity after trans-catheter aortic valve implantation

BACKGROUND: Mitral regurgitation (MR) is a frequent finding in patients with aortic stenosis (AS). The objective of this study is to assess the change in MR severity following transcatheter aortic valve implantation (TAVI)

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 27(2015), 1 vom: 17. Jan., Seite 10-7
1. Verfasser: Almasood, Ali (VerfasserIn)
Weitere Verfasser: Al Ahmari, Saeed, El-Shurafa, Haytham, Alotaibi, Mohammed, Al Kasab, Saad, AlAbdallah, Moheeb, Al-Moghairi, Abdulrahman, Al Khushail, Abdullah, Al-Amri, Husain
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2015
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Aortic stenosis Mitral regurgitation TAVI
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520 |a BACKGROUND: Mitral regurgitation (MR) is a frequent finding in patients with aortic stenosis (AS). The objective of this study is to assess the change in MR severity following transcatheter aortic valve implantation (TAVI) 
520 |a METHODS: MR changes were assessed by comparing transthoracic echocardiography before and after the procedure 
520 |a RESULTS: The prosthetic aortic valve was successfully implanted in 65 patients. The number of patients with pre-procedure MR was reduced from 58 (85.3%) to 43 (63.2%) (p < 0.001). Vena contracta width was decreased from 0.47 ± 0.28 to 0.25 ± 0.21, (p = 0.043). About 59.4% (19/32) of those who had moderate to severe MR and 85.7% (12/14) of those with severe MR experienced a significant improvement in MR after the procedure (p < 0.001). Improvement in MR was independent of prosthetic valve type with 54.2% in CoreValve and 43.9% in Edwards SAPIEN, p = 0.424; valve sizes were 25.8 ± 1.9 in those who improved vs. 25.0 ± 1.9 mm in those who did not improve, p = 0.105; femoral approach was 51.2% and apical approach was 41.7%, p = 0.457; MR etiology was 48.1% in organic and 48.6% in functional, p = 0.968; and operative risk was 50.0% in EuroScore >20 and 48.6% in EuroScore <20, p = 0.356 
520 |a CONCLUSIONS: TAVI is associated with a significant improvement in MR, especially in severe types. The lack of influence of MR improvement by the etiology of MR, the type of valve implanted, and the operative risk need to be confirmed in a larger multi-center study 
650 4 |a Journal Article 
650 4 |a Aortic stenosis 
650 4 |a Mitral regurgitation 
650 4 |a TAVI 
700 1 |a Al Ahmari, Saeed  |e verfasserin  |4 aut 
700 1 |a El-Shurafa, Haytham  |e verfasserin  |4 aut 
700 1 |a Alotaibi, Mohammed  |e verfasserin  |4 aut 
700 1 |a Al Kasab, Saad  |e verfasserin  |4 aut 
700 1 |a AlAbdallah, Moheeb  |e verfasserin  |4 aut 
700 1 |a Al-Moghairi, Abdulrahman  |e verfasserin  |4 aut 
700 1 |a Al Khushail, Abdullah  |e verfasserin  |4 aut 
700 1 |a Al-Amri, Husain  |e verfasserin  |4 aut 
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