The aortic valve calcium nodule score (AVCNS) independently predicts paravalvular regurgitation after transcatheter aortic valve replacement (TAVR)

Journal of Cardiovascular Computed Tomography

Volumn 8, Issue 2, 2014, Pages 131-140

  Azzalini, Lorenzo ^a,b   Ghoshhajra, Brian B ^a   Elmariah, Sammy ^a   Passeri, Jonathan J ^a   Inglessis, Ignacio ^a   Palacios, Igor F ^a   Abbara, Suhny ^a,c  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

^c UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Aortic valve; Calcification; Calcium; Computed tomography; Paravalvular regurgitation; Transcatheter aortic valve replacement

Indexed keywords

CALCIUM; IODINATED CONTRAST MEDIUM; IOPAMIDOL;

AGED; AORTA VALVE PROSTHESIS; AORTA VALVE REGURGITATION; AORTIC ANNULUS DIAMETER; AORTIC VALVE CALCIUM NODULE SCORE; ARTICLE; BLOOD VESSEL CALCIFICATION; BLOOD VESSEL PARAMETERS; CARDIOVASCULAR MORTALITY; COMPUTED TOMOGRAPHY SCANNER; CONTRAST ENHANCEMENT; FEMALE; FOLLOW UP; HEART LEFT VENTRICLE EJECTION FRACTION; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PARAVALVULAR REGURGITATION; POSTOPERATIVE COMPLICATION; PREDICTIVE VALUE; PREDICTOR VARIABLE; PREVALENCE; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; QUANTITATIVE ANALYSIS; RETROSPECTIVE STUDY; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SURGICAL MORTALITY; TRANSCATHETER AORTIC VALVE IMPLANTATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSTHORACIC ECHOCARDIOGRAPHY; VERY ELDERLY; AORTA VALVE; AORTIC VALVE INSUFFICIENCY; AORTIC VALVE STENOSIS; AREA UNDER THE CURVE; CALCINOSIS; DOPPLER ECHOCARDIOGRAPHY; ECHOGRAPHY; HEART CATHETERIZATION; HEART VALVE REPLACEMENT; MORTALITY; PATHOLOGY; PATHOPHYSIOLOGY; RADIOGRAPHY; RECEIVER OPERATING CHARACTERISTIC; RISK; RISK FACTOR; SEVERITY OF ILLNESS INDEX; STATISTICAL MODEL; TIME; TREATMENT OUTCOME;

AGED; AGED, 80 AND OVER; AORTIC VALVE; AORTIC VALVE INSUFFICIENCY; AORTIC VALVE STENOSIS; AREA UNDER CURVE; CALCINOSIS; CARDIAC CATHETERIZATION; ECHOCARDIOGRAPHY, DOPPLER, COLOR; FEMALE; HEART VALVE PROSTHESIS IMPLANTATION; HOSPITAL MORTALITY; HUMANS; LOGISTIC MODELS; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; ODDS RATIO; PREDICTIVE VALUE OF TESTS; PREVALENCE; RETROSPECTIVE STUDIES; RISK FACTORS; ROC CURVE; SEVERITY OF ILLNESS INDEX; TIME FACTORS; TREATMENT OUTCOME;

EID: 84896532390     PISSN: 19345925     EISSN: 1876861X     Source Type: Journal    
DOI: 10.1016/j.jcct.2013.12.013     Document Type: Article

References (33)

1. Nkomo V.T., Gardin J.M., Skelton T.N., Gottdiener J.S., Scott C.G., Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study. Lancet 2006, 368:1005-1011.
2. Vahanian A., Alfieri O., Andreotti F., et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J 2012, 33:2451-2496. Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS).
3. Iung B., Baron G., Butchart E.G., et al. Aprospective survey of patients with valvular heart disease in Europe: the Euro Heart Survey on Valvular Heart Disease. Eur Heart J 2003, 24:1231-1243.
4. Leon M.B., Smith C.R., Mack M., et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. NEngl J Med 2010, 363:1597-1607. PARTNER Trial Investigators.
5. Smith C.R., Leon M.B., Mack M.J., et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. NEngl J Med 2011, 364:2187-2198. PARTNER Trial Investigators.
6. Makkar R.R., Fontana G.P., Jilaihawi H., et al. Transcatheter aortic-valve replacement for inoperable severe aortic stenosis. NEngl J Med 2012, 366:1696-1704. PARTNER Trial Investigators.
7. Kodali S.K., Williams M.R., Smith C.R., et al. Two-year outcomes after transcatheter or surgical aortic-valve replacement. NEngl J Med 2012, 366:1686-1695. PARTNER Trial Investigators.
8. Achenbach S., Delgado V., Hausleiter J., Schoenhagen P., Min J.K., Leipsic J.A. SCCT expert consensus document on computed tomography imaging before transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR). JCardiovasc Comput Tomogr 2012, 6:366-380.
9. Ewe S.H., Ng A.C., Schuijf J.D., et al. Location and severity of aortic valve calcium and implications for aortic regurgitation after transcatheter aortic valve implantation. Am J Cardiol 2011, 108:1470-1477.
10. Colli A., D'Amico R., Kempfert J., Borger M.A., Mohr F.W., Walther T. Transesophageal echocardiographic scoring for transcatheter aortic valve implantation: impact of aortic cusp calcification on postoperative aortic regurgitation. JThorac Cardiovasc Surg 2011, 142:1229-1235.
11. Lerakis S., Hayek S.S., Douglas P.S. Paravalvular aortic leak after transcatheter aortic valve replacement: current knowledge. Circulation 2013, 127:397-407.
12. Généreux P., Head S.J., Hahn R., et al. Paravalvular leak after transcatheter aortic valve replacement: the new Achilles' heel? A comprehensive review of the literature. JAm Coll Cardiol 2013, 61:1125-1136.
13. Sponga S., Perron J., Dagenais F., et al. Impact of residual regurgitation after aortic valve replacement. Eur J Cardiothorac Surg 2012, 42:486-492.
14. Abdel-Wahab M., Zahn R., Horack M., et al. Aortic regurgitation after transcatheter aortic valve implantation: incidence and early outcome. Results from the German transcatheter aortic valve interventions registry. Heart 2011, 97:899-906. German transcatheter aortic interventions registry investigators.
15. Moat N.E., Ludman P., de Belder M.A., et al. Long-term outcomes after transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis: the U.K. TAVI (United Kingdom Transcatheter Aortic Valve Implantation) registry. JAm Coll Cardiol 2011, 58:2130-2138.
16. Delgado V., Ng A.C., van de Veire N.R., et al. Transcatheter aortic valve implantation: role of multi-detector row computed tomography to evaluate prosthesis positioning and deployment in relation to valve function. Eur Heart J 2010, 31:1114-1123.
17. John D., Buellesfeld L., Yuecel S., et al. Correlation of device landing zone calcification and acute procedural success in patients undergoing transcatheter aortic valve implantations with the self-expanding CoreValve prosthesis. JACC Cardiovasc Interv 2010, 3:233-243.
18. Haensig M., Lehmkuhl L., Rastan A.J., et al. Aortic valve calcium scoring is a predictor of significant paravalvular aortic insufficiency in transapical-aortic valve implantation. Eur J Cardiothorac Surg 2012, 41:1234-1241.
19. Koos R., Mahnken A.H., Dohmen G., et al. Association of aortic valve calcification severity with the degree of aortic regurgitation after transcatheter aortic valve implantation. Int J Cardiol 2011, 150:142-145.
20. Leber A.W., Kasel M., Ischinger T., et al. Aortic valve calcium score as a predictor for outcome after TAVI using the CoreValve revalving system. Int J Cardiol 2013, 166:652-657.
21. Gripari P., Ewe S.H., Fusini L., et al. Intraoperative 2D and 3D transoesophageal echocardiographic predictors of aortic regurgitation after transcatheter aortic valve implantation. Heart 2012, 98:1229-1236.
22. Schultz C.J., Tzikas A., Moelker A., et al. Correlates on MSCT of paravalvular aortic regurgitation after transcatheter aortic valve implantation using the Medtronic CoreValve prosthesis. Catheter Cardiovasc Interv 2011, 78:446-455.
23. Stortecky S., Buellesfeld L., Wenaweser P., Windecker S. Transcatheter aortic valve implantation: the procedure. Heart 2012, 98(suppl 4):iv44-iv51.
24. Walther T., Dewey T., Borger M.A., et al. Transapical aortic valve implantation: step by step. Ann Thorac Surg 2009, 87:276-283.
25. Kappetein A.P., Head S.J., Généreux P., et al. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. JThorac Cardiovasc Surg 2013, 145:6-23. Valve Academic Research Consortium-2.
26. Hong C., Bae K.T., Pilgram T.K., Zhu F. Coronary artery calcium quantification at multi-detector row CT: influence of heart rate and measurement methods on interacquisition variability initial experience. Radiology 2003, 228:95-100.
27. Hong C., Bae K.T., Pilgram T.K. Coronary artery calcium: accuracy and reproducibility of measurements with multi-detector row CT-assessment of effects of different thresholds and quantification methods. Radiology 2003, 227:795-801.
28. Hong C., Becker C.R., Schoepf U.J., Ohnesorge B., Bruening R., Reiser M.F. Coronary artery calcium: absolute quantification in nonenhanced and contrast-enhanced multi-detector row CT studies. Radiology 2002, 223:474-480.
29. Détaint D., Lepage L., Himbert D., et al. Determinants of significant paravalvular regurgitation after transcatheter aortic valve: implantation impact of device and annulus discongruence. JACC Cardiovasc Interv 2009, 2:821-827.
30. Willson A.B., Webb J.G., Labounty T.M., et al. 3-dimensional aortic annular assessment by multidetector computed tomography predicts noderate or severe paravalvular regurgitation after transcatheter aortic valve replacement: a multicenter retrospective analysis. JAm Coll Cardiol 2012, 59:1287-1294.
31. Sellers R.D., Levy M.J., Amplatz K., Lillehei C.W. Left retrograde cardioangiography in acquired cardiac disease: technic, indications and interpretations in 700 cases. Am J Cardiol 1964, 14:437-447.
32. Takagi K., Latib A., Al-Lamee R., et al. Predictors of moderate-to-severe paravalvular aortic regurgitation immediately after CoreValve implantation and the impact of postdilatation. Catheter Cardiovasc Interv 2011, 78:432-443.
33. Chieffo A., Buchanan G.L., Van Mieghem N.M., et al. Transcatheter aortic valve implantation with the Edwards SAPIEN versus the Medtronic CoreValve Revalving system devices: a multicenter collaborative study: the PRAGMATIC Plus Initiative (Pooled-RotterdAm-Milano-Toulouse In Collaboration). JAm Coll Cardiol 2013, 61:830-836.