Real-time three-dimensional transoesophageal echocardiography in the assessment of aortic valve stenosis
Aims To determine the feasibility of real-time three-dimensional transoesophageal echocardiography (3D-TOE) in the evaluation of aortic valve stenosis, to study its reliability, and to test the concordance of this new method when compared with transthoracic two-dimensional echocardiography (2D-TTE)...
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| Veröffentlicht in: | European journal of echocardiography 2010-01, Vol.11 (1), p.9-13 |
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| container_title | European journal of echocardiography |
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| creator | de la Morena, Gonzalo Saura, Daniel Oliva, María J. Soria, Federico González, Josefa García, Miguel Moreno, Victoria Bonaque, Juan C. Valdés, Mariano |
| description | Aims
To determine the feasibility of real-time three-dimensional transoesophageal echocardiography (3D-TOE) in the evaluation of aortic valve stenosis, to study its reliability, and to test the concordance of this new method when compared with transthoracic two-dimensional echocardiography (2D-TTE) as the diagnostic standard.
Methods and results
Fifty-nine consecutive patients with moderate-to-severe aortic valve stenosis were assessed by means of 2D-TTE and 3D-TOE by independent blinded observers. Aortic valve planimetry was possible in 94.9% of patients. Inter-observer intraclass correlation coefficients (ICC) were 0.892 (CI 95% 0.818-0.936; P < 0.001), and 0.871 (CI 95% 0.780-0.925; P < 0.001) for 2D-TTE and 3D-TOE, respectively. Bland-Altman plot showed a mean difference in aortic valve area (AVA) of 0.040 cm2, with 2D-TTE yielding larger values than 3D-TOE. ICC of both methods was 0.724 (CI 95% 0.530-0.839; P < 0.001).
Conclusion
Assessment of AVA by means of 3D-TOE is feasible in most patients with aortic valve stenosis. Reliability of the measurement is good. However, there is some disagreement with standard 2D-TTE that needs further investigation. |
| doi_str_mv | 10.1093/ejechocard/jep154 |
| format | Article |
| fullrecord | <record><control><sourceid>oup_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1093_ejechocard_jep154</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ejechocard/jep154</oup_id><sourcerecordid>10.1093/ejechocard/jep154</sourcerecordid><originalsourceid>FETCH-LOGICAL-c348t-bde138b116d57c527c7041f721ddbdf47db8f81ba8bc6a0ed37ffcbc00163df83</originalsourceid><addsrcrecordid>eNqNkM1qwzAQhEVpadK0D9BL0QPUjdayLedYQv8gUCjt2ehnFTs4lpGcQN6-Ck7Jtacd2Plm2SHkHtgTsAWf4wZ17bT0Zr7BHvLsgkwh52mSAmSXR53mURdiQm5C2DAGcZtdkwksSpZnwKek_kLZJkOzRTrUHjExUXahcZ1s6eBlFxwG19dyHX3071zj1l729YE2XcSQyhAwhAgO1FkqnR8aTfey3SMNA3YuNOGWXFnZBrw7zRn5eX35Xr4nq8-3j-XzKtE8K4dEGQReKoDC5ELnqdCCZWBFCsYoYzNhVGlLULJUupAMDRfWaqXjbwU3tuQzAmOu9i4Ej7bqfbOV_lABq46tVefWqrG1yDyMTL9TWzRn4lRTNDyOBrfr_5H3C-E8f3k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Real-time three-dimensional transoesophageal echocardiography in the assessment of aortic valve stenosis</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>de la Morena, Gonzalo ; Saura, Daniel ; Oliva, María J. ; Soria, Federico ; González, Josefa ; García, Miguel ; Moreno, Victoria ; Bonaque, Juan C. ; Valdés, Mariano</creator><creatorcontrib>de la Morena, Gonzalo ; Saura, Daniel ; Oliva, María J. ; Soria, Federico ; González, Josefa ; García, Miguel ; Moreno, Victoria ; Bonaque, Juan C. ; Valdés, Mariano</creatorcontrib><description>Aims
To determine the feasibility of real-time three-dimensional transoesophageal echocardiography (3D-TOE) in the evaluation of aortic valve stenosis, to study its reliability, and to test the concordance of this new method when compared with transthoracic two-dimensional echocardiography (2D-TTE) as the diagnostic standard.
Methods and results
Fifty-nine consecutive patients with moderate-to-severe aortic valve stenosis were assessed by means of 2D-TTE and 3D-TOE by independent blinded observers. Aortic valve planimetry was possible in 94.9% of patients. Inter-observer intraclass correlation coefficients (ICC) were 0.892 (CI 95% 0.818-0.936; P < 0.001), and 0.871 (CI 95% 0.780-0.925; P < 0.001) for 2D-TTE and 3D-TOE, respectively. Bland-Altman plot showed a mean difference in aortic valve area (AVA) of 0.040 cm2, with 2D-TTE yielding larger values than 3D-TOE. ICC of both methods was 0.724 (CI 95% 0.530-0.839; P < 0.001).
Conclusion
Assessment of AVA by means of 3D-TOE is feasible in most patients with aortic valve stenosis. Reliability of the measurement is good. However, there is some disagreement with standard 2D-TTE that needs further investigation.</description><identifier>ISSN: 1525-2167</identifier><identifier>EISSN: 1532-2114</identifier><identifier>DOI: 10.1093/ejechocard/jep154</identifier><identifier>PMID: 19805413</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; Analysis of Variance ; Aortic Valve - diagnostic imaging ; Aortic Valve Stenosis - diagnostic imaging ; Confidence Intervals ; Echocardiography ; Echocardiography, Three-Dimensional ; Feasibility Studies ; Female ; Humans ; Male ; Reference Values ; Reproducibility of Results ; Severity of Illness Index ; Statistics as Topic</subject><ispartof>European journal of echocardiography, 2010-01, Vol.11 (1), p.9-13</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org 2010</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-bde138b116d57c527c7041f721ddbdf47db8f81ba8bc6a0ed37ffcbc00163df83</citedby><cites>FETCH-LOGICAL-c348t-bde138b116d57c527c7041f721ddbdf47db8f81ba8bc6a0ed37ffcbc00163df83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19805413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de la Morena, Gonzalo</creatorcontrib><creatorcontrib>Saura, Daniel</creatorcontrib><creatorcontrib>Oliva, María J.</creatorcontrib><creatorcontrib>Soria, Federico</creatorcontrib><creatorcontrib>González, Josefa</creatorcontrib><creatorcontrib>García, Miguel</creatorcontrib><creatorcontrib>Moreno, Victoria</creatorcontrib><creatorcontrib>Bonaque, Juan C.</creatorcontrib><creatorcontrib>Valdés, Mariano</creatorcontrib><title>Real-time three-dimensional transoesophageal echocardiography in the assessment of aortic valve stenosis</title><title>European journal of echocardiography</title><addtitle>Eur J Echocardiogr</addtitle><description>Aims
To determine the feasibility of real-time three-dimensional transoesophageal echocardiography (3D-TOE) in the evaluation of aortic valve stenosis, to study its reliability, and to test the concordance of this new method when compared with transthoracic two-dimensional echocardiography (2D-TTE) as the diagnostic standard.
Methods and results
Fifty-nine consecutive patients with moderate-to-severe aortic valve stenosis were assessed by means of 2D-TTE and 3D-TOE by independent blinded observers. Aortic valve planimetry was possible in 94.9% of patients. Inter-observer intraclass correlation coefficients (ICC) were 0.892 (CI 95% 0.818-0.936; P < 0.001), and 0.871 (CI 95% 0.780-0.925; P < 0.001) for 2D-TTE and 3D-TOE, respectively. Bland-Altman plot showed a mean difference in aortic valve area (AVA) of 0.040 cm2, with 2D-TTE yielding larger values than 3D-TOE. ICC of both methods was 0.724 (CI 95% 0.530-0.839; P < 0.001).
Conclusion
Assessment of AVA by means of 3D-TOE is feasible in most patients with aortic valve stenosis. Reliability of the measurement is good. However, there is some disagreement with standard 2D-TTE that needs further investigation.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Aortic Valve - diagnostic imaging</subject><subject>Aortic Valve Stenosis - diagnostic imaging</subject><subject>Confidence Intervals</subject><subject>Echocardiography</subject><subject>Echocardiography, Three-Dimensional</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Reference Values</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Statistics as Topic</subject><issn>1525-2167</issn><issn>1532-2114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1qwzAQhEVpadK0D9BL0QPUjdayLedYQv8gUCjt2ehnFTs4lpGcQN6-Ck7Jtacd2Plm2SHkHtgTsAWf4wZ17bT0Zr7BHvLsgkwh52mSAmSXR53mURdiQm5C2DAGcZtdkwksSpZnwKek_kLZJkOzRTrUHjExUXahcZ1s6eBlFxwG19dyHX3071zj1l729YE2XcSQyhAwhAgO1FkqnR8aTfey3SMNA3YuNOGWXFnZBrw7zRn5eX35Xr4nq8-3j-XzKtE8K4dEGQReKoDC5ELnqdCCZWBFCsYoYzNhVGlLULJUupAMDRfWaqXjbwU3tuQzAmOu9i4Ej7bqfbOV_lABq46tVefWqrG1yDyMTL9TWzRn4lRTNDyOBrfr_5H3C-E8f3k</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>de la Morena, Gonzalo</creator><creator>Saura, Daniel</creator><creator>Oliva, María J.</creator><creator>Soria, Federico</creator><creator>González, Josefa</creator><creator>García, Miguel</creator><creator>Moreno, Victoria</creator><creator>Bonaque, Juan C.</creator><creator>Valdés, Mariano</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201001</creationdate><title>Real-time three-dimensional transoesophageal echocardiography in the assessment of aortic valve stenosis</title><author>de la Morena, Gonzalo ; Saura, Daniel ; Oliva, María J. ; Soria, Federico ; González, Josefa ; García, Miguel ; Moreno, Victoria ; Bonaque, Juan C. ; Valdés, Mariano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-bde138b116d57c527c7041f721ddbdf47db8f81ba8bc6a0ed37ffcbc00163df83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Aortic Valve - diagnostic imaging</topic><topic>Aortic Valve Stenosis - diagnostic imaging</topic><topic>Confidence Intervals</topic><topic>Echocardiography</topic><topic>Echocardiography, Three-Dimensional</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Reference Values</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Statistics as Topic</topic><toplevel>online_resources</toplevel><creatorcontrib>de la Morena, Gonzalo</creatorcontrib><creatorcontrib>Saura, Daniel</creatorcontrib><creatorcontrib>Oliva, María J.</creatorcontrib><creatorcontrib>Soria, Federico</creatorcontrib><creatorcontrib>González, Josefa</creatorcontrib><creatorcontrib>García, Miguel</creatorcontrib><creatorcontrib>Moreno, Victoria</creatorcontrib><creatorcontrib>Bonaque, Juan C.</creatorcontrib><creatorcontrib>Valdés, Mariano</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>European journal of echocardiography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de la Morena, Gonzalo</au><au>Saura, Daniel</au><au>Oliva, María J.</au><au>Soria, Federico</au><au>González, Josefa</au><au>García, Miguel</au><au>Moreno, Victoria</au><au>Bonaque, Juan C.</au><au>Valdés, Mariano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-time three-dimensional transoesophageal echocardiography in the assessment of aortic valve stenosis</atitle><jtitle>European journal of echocardiography</jtitle><addtitle>Eur J Echocardiogr</addtitle><date>2010-01</date><risdate>2010</risdate><volume>11</volume><issue>1</issue><spage>9</spage><epage>13</epage><pages>9-13</pages><issn>1525-2167</issn><eissn>1532-2114</eissn><abstract>Aims
To determine the feasibility of real-time three-dimensional transoesophageal echocardiography (3D-TOE) in the evaluation of aortic valve stenosis, to study its reliability, and to test the concordance of this new method when compared with transthoracic two-dimensional echocardiography (2D-TTE) as the diagnostic standard.
Methods and results
Fifty-nine consecutive patients with moderate-to-severe aortic valve stenosis were assessed by means of 2D-TTE and 3D-TOE by independent blinded observers. Aortic valve planimetry was possible in 94.9% of patients. Inter-observer intraclass correlation coefficients (ICC) were 0.892 (CI 95% 0.818-0.936; P < 0.001), and 0.871 (CI 95% 0.780-0.925; P < 0.001) for 2D-TTE and 3D-TOE, respectively. Bland-Altman plot showed a mean difference in aortic valve area (AVA) of 0.040 cm2, with 2D-TTE yielding larger values than 3D-TOE. ICC of both methods was 0.724 (CI 95% 0.530-0.839; P < 0.001).
Conclusion
Assessment of AVA by means of 3D-TOE is feasible in most patients with aortic valve stenosis. Reliability of the measurement is good. However, there is some disagreement with standard 2D-TTE that needs further investigation.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19805413</pmid><doi>10.1093/ejechocard/jep154</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Analysis of Variance Aortic Valve - diagnostic imaging Aortic Valve Stenosis - diagnostic imaging Confidence Intervals Echocardiography Echocardiography, Three-Dimensional Feasibility Studies Female Humans Male Reference Values Reproducibility of Results Severity of Illness Index Statistics as Topic |
| title | Real-time three-dimensional transoesophageal echocardiography in the assessment of aortic valve stenosis |
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