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
Hauptverfasser: 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
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container_end_page 306
container_issue 3
container_start_page 299
container_title Radiologia medica
container_volume 128
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
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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 &amp; 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. 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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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