Hemodynamic principles of prosthetic aortic valve evaluation in the transcatheter aortic valve replacement era
Document Type
Article
Publication Date
5-1-2020
Publication Title
Echocardiography
Abstract
© 2020 Wiley Periodicals, Inc. Evaluating the hemodynamic performance of aortic valve prostheses has relied primarily on echocardiography. This involves calculating the trans-prosthetic valve mean gradient (MG) and aortic valve area (AVA), and assessing for valvular and paravalvular regurgitation in a fashion similar to the native aortic valve. In conjunction with other echocardiographic and nonechocardiographic parameters, MG and AVA are used to distinguish between prosthesis stenosis, prosthesis patient mismatch, pressure recovery, increased flow, and measurement errors. This review will discuss the principles and limitations of echocardiographic evaluation of aortic valve prosthesis following surgical, and transcatheter aortic valve replacement and in comparison to invasive hemodynamics through illustrative clinical cases.
Volume
37
Issue
5
First Page
738
Last Page
757
Recommended Citation
Abbas, Amr E.; Mando, Ramy; Hanzel, George; Goldstein, James; and Shannon, Francis, "Hemodynamic principles of prosthetic aortic valve evaluation in the transcatheter aortic valve replacement era" (2020). Articles. 196.
https://scholarlyworks.beaumont.org/cardiology_articles/196
DOI
10.1111/echo.14663
ISSN
07422822
PubMed ID
32362021