Aortic valve and vascular calcium score in pre-TAVI CT: correlation with early post-procedural complications
Purpose The aim of our study was to evaluate the prevalence of early complications after Transcatheter Aortic Valve Implantation (TAVI) and their correlation with the Calcium Score (CS) of the aortic valve, aorta and ilio-femoral arteries derived from pre-procedural computed tomography (CT). Materia...
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Veröffentlicht in: | Radiologia medica 2023-03, Vol.128 (3), p.299-306 |
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creator | Milo, Sabrina Maria Toia, Patrizia Midiri, Federico D’Alessandro, Luigi Sollami, Giulia Panci, Aldo Pernice, Vincenzo Violante, Francesco Fattouch, Khalil Cutaia, Giuseppe Salvaggio, Giuseppe Lo Re, Giuseppe Grassedonio, Emanuele Galia, Massimo La Grutta, Ludovico |
description | Purpose
The aim of our study was to evaluate the prevalence of early complications after Transcatheter Aortic Valve Implantation (TAVI) and their correlation with the Calcium Score (CS) of the aortic valve, aorta and ilio-femoral arteries derived from pre-procedural computed tomography (CT).
Materials and methods
We retrospectively reviewed 226 patients (100 males, mean age 79.4 ± 6.7 years) undergoing 64-slice CT for pre-TAVI evaluation from January 2018 to April 2021. The population was divided into CS quartiles.
Results
Overall, 173 patients underwent TAVI procedure, of whom 61% presented paravalvular leak after the procedure, 28% presented bleeding or vascular complications, 25% presented atrioventricular block, and 8% developed acute kidney injury. The prevalence of paravalvular leak and vascular complications was higher in the upper CS quartiles for aortic valve and ilio-femoral arteries.
Conclusions
Aortic valve and vascular CS could help to predict post-TAVI early complications. |
doi_str_mv | 10.1007/s11547-023-01603-y |
format | Article |
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The aim of our study was to evaluate the prevalence of early complications after Transcatheter Aortic Valve Implantation (TAVI) and their correlation with the Calcium Score (CS) of the aortic valve, aorta and ilio-femoral arteries derived from pre-procedural computed tomography (CT).
Materials and methods
We retrospectively reviewed 226 patients (100 males, mean age 79.4 ± 6.7 years) undergoing 64-slice CT for pre-TAVI evaluation from January 2018 to April 2021. The population was divided into CS quartiles.
Results
Overall, 173 patients underwent TAVI procedure, of whom 61% presented paravalvular leak after the procedure, 28% presented bleeding or vascular complications, 25% presented atrioventricular block, and 8% developed acute kidney injury. The prevalence of paravalvular leak and vascular complications was higher in the upper CS quartiles for aortic valve and ilio-femoral arteries.
Conclusions
Aortic valve and vascular CS could help to predict post-TAVI early complications.</description><identifier>ISSN: 1826-6983</identifier><identifier>ISSN: 0033-8362</identifier><identifier>EISSN: 1826-6983</identifier><identifier>DOI: 10.1007/s11547-023-01603-y</identifier><identifier>PMID: 36786969</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Aged ; Aged, 80 and over ; Aorta ; Aortic Valve - diagnostic imaging ; Aortic Valve - surgery ; Aortic Valve Stenosis - diagnostic imaging ; Aortic Valve Stenosis - surgery ; Arteries ; Calcium ; Cardiac Radiology ; Computed tomography ; Diagnostic Radiology ; Heart valves ; Humans ; Imaging ; Interventional Radiology ; Male ; Medicine ; Medicine & Public Health ; Neuroradiology ; Quartiles ; Radiology ; Retrospective Studies ; Tomography, X-Ray Computed ; Transcatheter Aortic Valve Replacement - adverse effects ; Transcatheter Aortic Valve Replacement - methods ; Treatment Outcome ; Ultrasound</subject><ispartof>Radiologia medica, 2023-03, Vol.128 (3), p.299-306</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-86cfe46c5e76c0add523774721b60aec3273cead70cfabf6bc36b0b5906ec7193</citedby><cites>FETCH-LOGICAL-c475t-86cfe46c5e76c0add523774721b60aec3273cead70cfabf6bc36b0b5906ec7193</cites><orcidid>0000-0002-3557-0084</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11547-023-01603-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11547-023-01603-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36786969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milo, Sabrina Maria</creatorcontrib><creatorcontrib>Toia, Patrizia</creatorcontrib><creatorcontrib>Midiri, Federico</creatorcontrib><creatorcontrib>D’Alessandro, Luigi</creatorcontrib><creatorcontrib>Sollami, Giulia</creatorcontrib><creatorcontrib>Panci, Aldo</creatorcontrib><creatorcontrib>Pernice, Vincenzo</creatorcontrib><creatorcontrib>Violante, Francesco</creatorcontrib><creatorcontrib>Fattouch, Khalil</creatorcontrib><creatorcontrib>Cutaia, Giuseppe</creatorcontrib><creatorcontrib>Salvaggio, Giuseppe</creatorcontrib><creatorcontrib>Lo Re, Giuseppe</creatorcontrib><creatorcontrib>Grassedonio, Emanuele</creatorcontrib><creatorcontrib>Galia, Massimo</creatorcontrib><creatorcontrib>La Grutta, Ludovico</creatorcontrib><title>Aortic valve and vascular calcium score in pre-TAVI CT: correlation with early post-procedural complications</title><title>Radiologia medica</title><addtitle>Radiol med</addtitle><addtitle>Radiol Med</addtitle><description>Purpose
The aim of our study was to evaluate the prevalence of early complications after Transcatheter Aortic Valve Implantation (TAVI) and their correlation with the Calcium Score (CS) of the aortic valve, aorta and ilio-femoral arteries derived from pre-procedural computed tomography (CT).
Materials and methods
We retrospectively reviewed 226 patients (100 males, mean age 79.4 ± 6.7 years) undergoing 64-slice CT for pre-TAVI evaluation from January 2018 to April 2021. The population was divided into CS quartiles.
Results
Overall, 173 patients underwent TAVI procedure, of whom 61% presented paravalvular leak after the procedure, 28% presented bleeding or vascular complications, 25% presented atrioventricular block, and 8% developed acute kidney injury. The prevalence of paravalvular leak and vascular complications was higher in the upper CS quartiles for aortic valve and ilio-femoral arteries.
Conclusions
Aortic valve and vascular CS could help to predict post-TAVI early complications.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aorta</subject><subject>Aortic Valve - diagnostic imaging</subject><subject>Aortic Valve - surgery</subject><subject>Aortic Valve Stenosis - diagnostic imaging</subject><subject>Aortic Valve Stenosis - surgery</subject><subject>Arteries</subject><subject>Calcium</subject><subject>Cardiac Radiology</subject><subject>Computed tomography</subject><subject>Diagnostic Radiology</subject><subject>Heart valves</subject><subject>Humans</subject><subject>Imaging</subject><subject>Interventional Radiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Quartiles</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Transcatheter Aortic Valve Replacement - adverse effects</subject><subject>Transcatheter Aortic Valve Replacement - methods</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>1826-6983</issn><issn>0033-8362</issn><issn>1826-6983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhiNERT_gD3BAlrhwMfVHYidc0GrVQqVKXBauljOZtK6cONjJVvvvcXdLKRw4eeR55p2PtyjecvaRM6bPE-dVqSkTkjKumKS7F8UJr4Wiqqnly2fxcXGa0h1jJeOseVUcS6Vr1ajmpPCrEGcHZGv9FokduxwlWLyNBKwHtwwkQYhI3EimiHSz-nFF1ptPJH9G9HZ2YST3br4laKPfkSmkmU4xAHZLtD5jw-Qd7Ln0ujjqrU_45vE9K75fXmzWX-n1ty9X69U1hVJXM60V9FgqqFArYLbrKiG1LrXgrWIWQQotAW2nGfS27VULUrWsrRqmEDRv5Fnx-aA7Le2AHeA451nMFN1g484E68zfmdHdmpuwNfmsgomGZ4UPjwox_FwwzWZwCdB7O2JYkhFaq4rLao--_we9C0sc836ZqrUq80AsU-JAQQwpReyfpuHsoa02BzdNdtPs3TS7XPTu-R5PJb_ty4A8ACmnxhuMf3r_R_YXbLmthA</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Milo, Sabrina Maria</creator><creator>Toia, Patrizia</creator><creator>Midiri, Federico</creator><creator>D’Alessandro, Luigi</creator><creator>Sollami, Giulia</creator><creator>Panci, Aldo</creator><creator>Pernice, Vincenzo</creator><creator>Violante, Francesco</creator><creator>Fattouch, Khalil</creator><creator>Cutaia, Giuseppe</creator><creator>Salvaggio, Giuseppe</creator><creator>Lo Re, Giuseppe</creator><creator>Grassedonio, Emanuele</creator><creator>Galia, Massimo</creator><creator>La Grutta, Ludovico</creator><general>Springer Milan</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3557-0084</orcidid></search><sort><creationdate>20230301</creationdate><title>Aortic valve and vascular calcium score in pre-TAVI CT: correlation with early post-procedural complications</title><author>Milo, Sabrina Maria ; Toia, Patrizia ; Midiri, Federico ; D’Alessandro, Luigi ; Sollami, Giulia ; Panci, Aldo ; Pernice, Vincenzo ; Violante, Francesco ; Fattouch, Khalil ; Cutaia, Giuseppe ; Salvaggio, Giuseppe ; Lo Re, Giuseppe ; Grassedonio, Emanuele ; Galia, Massimo ; La Grutta, Ludovico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-86cfe46c5e76c0add523774721b60aec3273cead70cfabf6bc36b0b5906ec7193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aorta</topic><topic>Aortic Valve - diagnostic imaging</topic><topic>Aortic Valve - surgery</topic><topic>Aortic Valve Stenosis - diagnostic imaging</topic><topic>Aortic Valve Stenosis - surgery</topic><topic>Arteries</topic><topic>Calcium</topic><topic>Cardiac Radiology</topic><topic>Computed tomography</topic><topic>Diagnostic Radiology</topic><topic>Heart valves</topic><topic>Humans</topic><topic>Imaging</topic><topic>Interventional Radiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Quartiles</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Transcatheter Aortic Valve Replacement - adverse effects</topic><topic>Transcatheter Aortic Valve Replacement - methods</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milo, Sabrina Maria</creatorcontrib><creatorcontrib>Toia, Patrizia</creatorcontrib><creatorcontrib>Midiri, Federico</creatorcontrib><creatorcontrib>D’Alessandro, Luigi</creatorcontrib><creatorcontrib>Sollami, Giulia</creatorcontrib><creatorcontrib>Panci, Aldo</creatorcontrib><creatorcontrib>Pernice, Vincenzo</creatorcontrib><creatorcontrib>Violante, Francesco</creatorcontrib><creatorcontrib>Fattouch, Khalil</creatorcontrib><creatorcontrib>Cutaia, Giuseppe</creatorcontrib><creatorcontrib>Salvaggio, Giuseppe</creatorcontrib><creatorcontrib>Lo Re, Giuseppe</creatorcontrib><creatorcontrib>Grassedonio, Emanuele</creatorcontrib><creatorcontrib>Galia, Massimo</creatorcontrib><creatorcontrib>La Grutta, Ludovico</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Radiologia medica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milo, Sabrina Maria</au><au>Toia, Patrizia</au><au>Midiri, Federico</au><au>D’Alessandro, Luigi</au><au>Sollami, Giulia</au><au>Panci, Aldo</au><au>Pernice, Vincenzo</au><au>Violante, Francesco</au><au>Fattouch, Khalil</au><au>Cutaia, Giuseppe</au><au>Salvaggio, Giuseppe</au><au>Lo Re, Giuseppe</au><au>Grassedonio, Emanuele</au><au>Galia, Massimo</au><au>La Grutta, Ludovico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic valve and vascular calcium score in pre-TAVI CT: correlation with early post-procedural complications</atitle><jtitle>Radiologia medica</jtitle><stitle>Radiol med</stitle><addtitle>Radiol Med</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>128</volume><issue>3</issue><spage>299</spage><epage>306</epage><pages>299-306</pages><issn>1826-6983</issn><issn>0033-8362</issn><eissn>1826-6983</eissn><abstract>Purpose
The aim of our study was to evaluate the prevalence of early complications after Transcatheter Aortic Valve Implantation (TAVI) and their correlation with the Calcium Score (CS) of the aortic valve, aorta and ilio-femoral arteries derived from pre-procedural computed tomography (CT).
Materials and methods
We retrospectively reviewed 226 patients (100 males, mean age 79.4 ± 6.7 years) undergoing 64-slice CT for pre-TAVI evaluation from January 2018 to April 2021. The population was divided into CS quartiles.
Results
Overall, 173 patients underwent TAVI procedure, of whom 61% presented paravalvular leak after the procedure, 28% presented bleeding or vascular complications, 25% presented atrioventricular block, and 8% developed acute kidney injury. The prevalence of paravalvular leak and vascular complications was higher in the upper CS quartiles for aortic valve and ilio-femoral arteries.
Conclusions
Aortic valve and vascular CS could help to predict post-TAVI early complications.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>36786969</pmid><doi>10.1007/s11547-023-01603-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3557-0084</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged Aged, 80 and over Aorta Aortic Valve - diagnostic imaging Aortic Valve - surgery Aortic Valve Stenosis - diagnostic imaging Aortic Valve Stenosis - surgery Arteries Calcium Cardiac Radiology Computed tomography Diagnostic Radiology Heart valves Humans Imaging Interventional Radiology Male Medicine Medicine & Public Health Neuroradiology Quartiles Radiology Retrospective Studies Tomography, X-Ray Computed Transcatheter Aortic Valve Replacement - adverse effects Transcatheter Aortic Valve Replacement - methods Treatment Outcome Ultrasound |
title | Aortic valve and vascular calcium score in pre-TAVI CT: correlation with early post-procedural complications |
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