Valvular & structural heart disease

Assessment of paravalvular regurgitation after transcatheter aortic valve replacement using 2D multi-velocity encoding and 4D flow cardiac magnetic resonance

Eur Heart J Cardiovasc ImagingPublished Prospective method-comparison study

Authors' conclusion

Two-dimensional multi-venc and 4D flow produce an accurate quantification of PVR after TAVR.

Study context

Population
Patients 1 month after transcatheter aortic valve replacement (TAVR), assessed for paravalvular regurgitationmean age 80 ± 5 years, 9 men
Participants
21 patients
Exposure
2D multi-venc and 4D flow cardiac magnetic resonance (CMR) vs standard 2D flow CMR
Outcome
CMR-derived regurgitant fraction (RF) of paravalvular regurgitation (PVR)
Follow-up
1 month after TAVR

Main finding

As reported in the abstract

Regurgitant fraction

R

0.88

P < 0.001

2D multi-venc · very strong correlation

R

0.74

P < 0.001

4D flow · strong correlation

Observational data: associations, not effects.

Original publication

Assessment of paravalvular regurgitation after transcatheter aortic valve replacement using 2D multi-velocity encoding and 4D flow cardiac magnetic resonance. Eur Heart J Cardiovasc Imaging. Published 2 February 2024. doi:10.1093/ehjci/jeae035

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