Clinical impact of residual gradient and 3D orifice area after transcatheter mitral valve-in-valve implantation

Elevated 30-day mean gradient is associated with worse outcomes after MVIV, and smaller intraprocedural MVIV 3D-AOA is associated with a higher 30-day mean gradient and worse mortality. Optimizing MVIV orifice area at the time of procedure may improve valve haemodynamics and patient outcomes.

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Publication Details

Journal
European Heart Journal - Cardiovascular Imaging
Published
2025-05-17
DOI
https://doi.org/10.1093/ehjci/jeaf152
Primary Topic
Cardiac Valve Diseases and Treatments
Type
article
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article

Clinical impact of residual gradient and 3D orifice area after transcatheter mitral valve-in-valve implantation

Aaisha Ferkh, Cvetan Trpkov, Soohyun Chang, John G. Webb et al.
European Heart Journal - Cardiovascular Imaging
Cardiac Valve Diseases and Treatments
article

Clinical impact of residual gradient and 3D orifice area after transcatheter mitral valve-in-valve implantation

Aaisha Ferkh, Cvetan Trpkov, Soohyun Chang, John G. Webb, Anson Cheung, Maggie Yu, David Meier, Gnalini Sathananthan, Julius Jonas Jelisejevas, David Wood, Brian Chiang, Kevin Ong, Janarthanan Sathananthan, Mariama Akodad, Jian Ye, Robert Moss, Andrew Chatfield
article en

Abstract

Elevated 30-day mean gradient is associated with worse outcomes after MVIV, and smaller intraprocedural MVIV 3D-AOA is associated with a higher 30-day mean gradient and worse mortality. Optimizing MVIV orifice area at the time of procedure may improve valve haemodynamics and patient outcomes.

European Heart Journal - Cardiovascular ImagingVol. 26(8)
Valve (United States) (US), University of British Columbia (CA), Vancouver Hospital and Health Sciences Centre (CA), St. Paul's Hospital (CA), Vancouver General Hospital (CA), St. Paul's Hospital (CA)
Openalex Percentile: Top 81%
Cardiac Valve Diseases and Treatments
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Clinical impact of residual gradient and 3D orifice area after transcatheter mitral valve-in-valve implantation — Aaisha Ferkh, Cvetan Trpkov, et al. · European Heart Journal - Cardiovascular Imaging (2025) | TGRS Research Map | TGRS