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Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement

BACKGROUND: Our goal was to determine the accuracy of 3-dimensional transesophageal echocardiography (3D-TEE) compared with that of computed tomography (CT) in the preoperative evaluation for transcatheter aortic valve replacement (TAVR) when the errors caused by inconsistent software and method hav...

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Autores principales: Ding, Peng, Xu, Chennian, Liu, Yang, Meng, Xin, Jin, Ping, Tang, Jiayou, Li, Lanlan, Ma, Yanyan, Yang, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237423/
https://www.ncbi.nlm.nih.gov/pubmed/34182931
http://dx.doi.org/10.1186/s12872-021-02101-7
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author Ding, Peng
Xu, Chennian
Liu, Yang
Meng, Xin
Jin, Ping
Tang, Jiayou
Li, Lanlan
Ma, Yanyan
Yang, Jian
author_facet Ding, Peng
Xu, Chennian
Liu, Yang
Meng, Xin
Jin, Ping
Tang, Jiayou
Li, Lanlan
Ma, Yanyan
Yang, Jian
author_sort Ding, Peng
collection PubMed
description BACKGROUND: Our goal was to determine the accuracy of 3-dimensional transesophageal echocardiography (3D-TEE) compared with that of computed tomography (CT) in the preoperative evaluation for transcatheter aortic valve replacement (TAVR) when the errors caused by inconsistent software and method have been eliminated and the representativeness of the sample has been improved. We also investigated the influence of aortic root calcification on the accuracy of 3D-TEE in aortic annulus evaluations. METHODS: Part I: 45 of 233 patients who underwent TAVR in the department of cardiovascular surgery at the Xijing hospital from January 2016 to August 2019 were studied retrospectively. Materialise Mimics software and the multiplanar reconstruction method were used for evaluation, based on 3D-TEE and CT. The annulus area-derived diameter, the annulus perimeter-derived diameter (Dp), the annulus mean diameter, the left ventricular outflow tract Dp diameter, the sinotubular junction (STJ) diameter-Dp, and the aortic sinus diameter were compared and analyzed. Part II: 31 of 233 patients whose 3D-TEE and CT data were well preserved and in the required format were included. HU450 and HU850 were used as indicators to measure the severity of calcification. The Spearman rank correlation and Linear regression were used to analyze the correlation between aortic root calcification and the accuracy of 3D-TEE in aortic annulus measurement. RESULTS: The measurement results based on 3D-TEE were significantly lower than those obtained using CT (P < 0.05), except for the STJ diameter-Dp in diastole (P = 0.11). The correlation coefficient of the two groups was 0.699–0.954 (P < 0.01), which also indicated a significant correlation between the two groups. A Bland–Altman plot showed that the ordinate values were mostly within the 95% consistency limit; the consistency of the two groups was good. By establishing the linear regression equation, the two groups can be inferred from each other. The Spearman rank correlation analysis and the Linear regression analysis showed that the influence of aortic calcification on the accuracy of the 3D-TEE annulus evaluation was limited. CONCLUSIONS: Although an evaluation based on 3D-TEE underestimated the results, we can deduce CT results from 3D-TEE because the two methods exhibit considerable correlation and consistency. TRIAL REGISTRATION: Name: Surgery and Transcatheter Intervention for Structural Heart Diseases. Number: NCT02917980. URL: https://clinicaltrials.gov/ct2/results?term=NCT02917980.
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spelling pubmed-82374232021-06-29 Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement Ding, Peng Xu, Chennian Liu, Yang Meng, Xin Jin, Ping Tang, Jiayou Li, Lanlan Ma, Yanyan Yang, Jian BMC Cardiovasc Disord Research Article BACKGROUND: Our goal was to determine the accuracy of 3-dimensional transesophageal echocardiography (3D-TEE) compared with that of computed tomography (CT) in the preoperative evaluation for transcatheter aortic valve replacement (TAVR) when the errors caused by inconsistent software and method have been eliminated and the representativeness of the sample has been improved. We also investigated the influence of aortic root calcification on the accuracy of 3D-TEE in aortic annulus evaluations. METHODS: Part I: 45 of 233 patients who underwent TAVR in the department of cardiovascular surgery at the Xijing hospital from January 2016 to August 2019 were studied retrospectively. Materialise Mimics software and the multiplanar reconstruction method were used for evaluation, based on 3D-TEE and CT. The annulus area-derived diameter, the annulus perimeter-derived diameter (Dp), the annulus mean diameter, the left ventricular outflow tract Dp diameter, the sinotubular junction (STJ) diameter-Dp, and the aortic sinus diameter were compared and analyzed. Part II: 31 of 233 patients whose 3D-TEE and CT data were well preserved and in the required format were included. HU450 and HU850 were used as indicators to measure the severity of calcification. The Spearman rank correlation and Linear regression were used to analyze the correlation between aortic root calcification and the accuracy of 3D-TEE in aortic annulus measurement. RESULTS: The measurement results based on 3D-TEE were significantly lower than those obtained using CT (P < 0.05), except for the STJ diameter-Dp in diastole (P = 0.11). The correlation coefficient of the two groups was 0.699–0.954 (P < 0.01), which also indicated a significant correlation between the two groups. A Bland–Altman plot showed that the ordinate values were mostly within the 95% consistency limit; the consistency of the two groups was good. By establishing the linear regression equation, the two groups can be inferred from each other. The Spearman rank correlation analysis and the Linear regression analysis showed that the influence of aortic calcification on the accuracy of the 3D-TEE annulus evaluation was limited. CONCLUSIONS: Although an evaluation based on 3D-TEE underestimated the results, we can deduce CT results from 3D-TEE because the two methods exhibit considerable correlation and consistency. TRIAL REGISTRATION: Name: Surgery and Transcatheter Intervention for Structural Heart Diseases. Number: NCT02917980. URL: https://clinicaltrials.gov/ct2/results?term=NCT02917980. BioMed Central 2021-06-28 /pmc/articles/PMC8237423/ /pubmed/34182931 http://dx.doi.org/10.1186/s12872-021-02101-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Ding, Peng
Xu, Chennian
Liu, Yang
Meng, Xin
Jin, Ping
Tang, Jiayou
Li, Lanlan
Ma, Yanyan
Yang, Jian
Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
title Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
title_full Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
title_fullStr Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
title_full_unstemmed Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
title_short Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
title_sort application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237423/
https://www.ncbi.nlm.nih.gov/pubmed/34182931
http://dx.doi.org/10.1186/s12872-021-02101-7
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