CoreValve经导管主动脉瓣植入术后瓣周漏超声心动图短轴评估的局限性与困难

Limitations and difficulties of echocardiographic short-axis assessment of paravalvular leakage after corevalve transcatheter aortic valve implantation.

作者信息

Geleijnse Marcel L, Di Martino Luigi F M, Vletter Wim B, Ren Ben, Galema Tjebbe W, Van Mieghem Nicolas M, de Jaegere Peter P T, Soliman Osama I I

机构信息

From the department of Cardiology, Thoraxcenter, Erasmus University Medical Center, Thoraxcenter, Ba304, 's-Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.

From the department of Cardiology, Ospedali Riuniti, Università degli Studi di Foggia, Foggia, Italy.

出版信息

Cardiovasc Ultrasound. 2016 Sep 6;14(1):37. doi: 10.1186/s12947-016-0080-5.

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.