A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve

We sought to assess commissural alignment of the balloon-expandable valve on fluoroscopy. Commissural alignment was defined on fluoroscopy in 20 patients according to alignment of the valve commissural posts in the 3-cusp and the cusp-overlap view and correlated with post–transcatheter aortic valve...

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Autori principali: Mariama Akodad, MD, PhD, David Meier, MD, Georgios Tzimas, MD, Jonathon Leipsic, MD, Philipp Blanke, MD, David A. Wood, MD, John G. Webb, MD, Janarthanan Sathananthan, MB ChB, MD
Natura: Articolo
Lingua:English
Pubblicazione: Elsevier 2023-05-01
Serie:JACC: Case Reports
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Accesso online:http://www.sciencedirect.com/science/article/pii/S2666084923000803
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author Mariama Akodad, MD, PhD
David Meier, MD
Georgios Tzimas, MD
Jonathon Leipsic, MD
Philipp Blanke, MD
David A. Wood, MD
John G. Webb, MD
Janarthanan Sathananthan, MB ChB, MD
author_facet Mariama Akodad, MD, PhD
David Meier, MD
Georgios Tzimas, MD
Jonathon Leipsic, MD
Philipp Blanke, MD
David A. Wood, MD
John G. Webb, MD
Janarthanan Sathananthan, MB ChB, MD
author_sort Mariama Akodad, MD, PhD
collection DOAJ
description We sought to assess commissural alignment of the balloon-expandable valve on fluoroscopy. Commissural alignment was defined on fluoroscopy in 20 patients according to alignment of the valve commissural posts in the 3-cusp and the cusp-overlap view and correlated with post–transcatheter aortic valve replacement computed tomography. Agreement was strong between computed tomography and fluoroscopy (weighted Cohen’s kappa coefficient: 0.88). (Level of Difficulty: Advanced.)
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spelling doaj.art-9aeb0d0b901b47a08b93101bbf4cd53a2023-03-27T04:03:01ZengElsevierJACC: Case Reports2666-08492023-05-0113101804A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart ValveMariama Akodad, MD, PhD0David Meier, MD1Georgios Tzimas, MD2Jonathon Leipsic, MD3Philipp Blanke, MD4David A. Wood, MD5John G. Webb, MD6Janarthanan Sathananthan, MB ChB, MD7Centre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Division of Cardiology, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada; Cardiovascular Translational Laboratory, Centre for Heart Lung Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada; Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Ramsay Santé, Massy, FranceCentre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Division of Cardiology, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada; Cardiovascular Translational Laboratory, Centre for Heart Lung Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Radiology, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Radiology, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Radiology, University of British Columbia, Vancouver, British Columbia, CanadaCentre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, CanadaCentre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, CanadaCentre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Address for correspondence: Dr Janarthanan Sathananthan, St. Paul’s Hospital, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.We sought to assess commissural alignment of the balloon-expandable valve on fluoroscopy. Commissural alignment was defined on fluoroscopy in 20 patients according to alignment of the valve commissural posts in the 3-cusp and the cusp-overlap view and correlated with post–transcatheter aortic valve replacement computed tomography. Agreement was strong between computed tomography and fluoroscopy (weighted Cohen’s kappa coefficient: 0.88). (Level of Difficulty: Advanced.)http://www.sciencedirect.com/science/article/pii/S2666084923000803aortic valvecomputed tomographyvalve replacement
spellingShingle Mariama Akodad, MD, PhD
David Meier, MD
Georgios Tzimas, MD
Jonathon Leipsic, MD
Philipp Blanke, MD
David A. Wood, MD
John G. Webb, MD
Janarthanan Sathananthan, MB ChB, MD
A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve
JACC: Case Reports
aortic valve
computed tomography
valve replacement
title A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve
title_full A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve
title_fullStr A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve
title_full_unstemmed A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve
title_short A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve
title_sort simplified fluoroscopic method for commissural alignment assessment with a balloon expandable transcatheter heart valve
topic aortic valve
computed tomography
valve replacement
url http://www.sciencedirect.com/science/article/pii/S2666084923000803
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