Bibliographic Details
| Title: |
Comparison of effective regurgitant orifice area by the PISA method and tricuspid coaptation gap measurement to identify very severe tricuspid regurgitation and stratify mortality risk |
| Authors: |
Yohann Bohbot, Léa Tordjman, Julien Dreyfus, Thierry Le Tourneau, Yoan Lavie-Badie, Christine Selton-Suty, Benjamin Elegamandji, Guillaume L’official, Antoine Fraix, Samy Aghezzaf, Pierre Yves Turgeon, David Messika Zeitoun, Maurice Enriquez-Sarano, Augustin Coisne, Erwan Donal, Christophe Tribouilloy |
| Source: |
Frontiers in Cardiovascular Medicine, Vol 10 (2023) |
| Publisher Information: |
Frontiers Media S.A., 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
very severe tricuspid regurgitation, survival, coaptation gap, effective regurgitant orifice area, mortality, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
IntroductionVarious definitions of very severe (VS) tricuspid regurgitation (TR) have been proposed based on the effective regurgitant orifice area (EROA) or tricuspid coaptation gap (TCG). Because of the inherent limitations associated with the EROA, we hypothesized that the TCG would be more suitable for defining VSTR and predicting outcomes.Materials and methodsIn this French multicentre retrospective study, we included 606 patients with ≥moderate-to-severe isolated functional TR (without structural valve disease or an overt cardiac cause) according to the recommendations of the European Association of Cardiovascular Imaging. Patients were further stratified into VSTR according to the EROA (≥60 mm2) and then according to the TCG (≥10 mm). The primary endpoint was all-cause mortality and the secondary endpoint was cardiovascular mortality.ResultsThe relationship between the EROA and TCG was poor (R2 = 0.22), especially when the size of the defect was large. Four-year survival was comparable between patients with an EROA |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2297-055X |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fcvm.2023.1090572/full; https://doaj.org/toc/2297-055X |
| DOI: |
10.3389/fcvm.2023.1090572 |
| Access URL: |
https://doaj.org/article/986ba5c44a434c8ab97392fdbb826dfd |
| Accession Number: |
edsdoj.986ba5c44a434c8ab97392fdbb826dfd |
| Database: |
Directory of Open Access Journals |
