Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography

CANSEL, MEHMET; ERMIS, NECIP; CENGİL, MUHAMMED ERKAM; Güven, Fatih; pekdemir, hasan; Taşolar, Hakan; Hidayet, Şıho; Bayramoğlu, Adil; ulutaş, zeynep; AKAYCAN, JÜLIDE

doi:10.5543/tkda.2022.47542

Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography

Adil BAYRAMOĞLU, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Zeynep ULUTAŞ, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Julide AKAYCAN, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Siho HİDAYET, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Hakan TASOLAR, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Mehmet CANSEL, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Necip ERMİŞ, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Muhammed Erkam CENGİL, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Fatih GÜVEN, (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Hasan PEKDEMİR (Kardiyoloji Bölümü, İnönü Üniversite, Tıp Fakültesi, Malatya, Türkiye)

Türk Kardiyoloji Derneği Arşivi

1 2

Yıl: 2023 Cilt: 51 Sayı: 3 Sayfa Aralığı: 182 - 187 Metin Dili: İngilizce DOI: 10.5543/tkda.2022.47542 İndeks Tarihi: 19-05-2023

Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography

Öz:

Objective: Beneficial effects of transaortic valve implantation on left ventricular hemodyna mics and prognosis of patients have been demonstrated. Although left ventricular systolic and diastolic function following transaortic valve implantation procedure have been examined in previous studies, 4 dimensional echocardiographic parameters have not been extensively studied, especially in patients with preserved ejection fraction aortic stenosis. In our study, we planned to evaluate the effect of transaortic valve implantation on myocardial deformation using 4dimensional echocardiography. Methods: A total of 60 consecutive patients who underwent transaortic valve implantation for severe aortic stenosis with preserved ejection fraction were prospectively enrolled in the study. Standard 2 dimensional echocardiography and 4 dimensional echocardiography were per formed in all patients before and 6 months after the transaortic valve implantation procedure. Results: Six months after valve implantation, significant improvement was observed in global longitudinal strain (P < 0.001), spherical circumferential strain (P = 0.022), global radial strain (P = 0.008), and global area strain (P < 0.001). In the regression analysis, global area strain and absence of diabetes mellitus were determined as independent predictors to show a 10% increase in the left ventricular ejection fraction. Conclusions: In patients with preserved ejection fraction who underwent transaortic valve implantation, left ventricle deformation parameters have improved after 6 months, especially by using 4dimensional echocardiography. The use of 4dimensional echocardiography should be more common in daily practice.

Anahtar Kelime:

Transkateter Aort Kapağı İmplamantasyonunun Sol Ventrikül Fonksiyonlarına Etkisinin Dört Boyutlu Ekokardiyografi ile Değerlendirilmesi

Öz:

Amaç: Transaortik kapak implantasyonunun (TAVI) sol ventrikül hemodinamiği ve prognozu üzerine yararlı etkileri gösterilmiştir. Önceki çalışmalarda TAVI prosedürünü takiben sol ven trikül sistolik ve diyastolik fonksiyonu incelenmiş olmasına rağmen, özellikle korunmuş ejeksi yon fraksiyonlu aort stenozu olan hastalarda dört boyutlu ekokardiyografik (4DE) parametreler kapsamlı bir şekilde çalışılmamıştır. Çalışmamızda TAVİ'nin miyokardiyal deformasyon üzerin deki etkisini 4DE kullanarak değerlendirmeyi planladık. Yöntem: Korunmuş ejeksiyon fraksiyonlu ciddi aort stenozu nedeniyle TAVİ uygulanan ardışık toplam 60 hasta prospektif olarak çalışmaya alındı. Tüm hastalara TAVI işleminden önce ve 6 ay sonra standart iki boyutlu ekokardiyografi (2DE) ve 4DE uygulandı. Bulgular: Kapak implantasyonundan 6 ay sonra, global longitudinal strain (P < 0.001), global sirkümferansiyel strain (P = 0.022), global radyal strain (P = 0.008) ve global area strainde (P < 0.001) anlamlı iyileşme gözlendi. Regresyon analizinde, diabetes mellitus olmaması ve global area strain sol ventrikül ejeksiyon fraksiyonunda %10'luk bir artış göstermek için bağımsız belir leyiciler olarak belirlendi. Sonuç: TAVİ uygulanan korunmuş ejeksiyon fraksiyonu olan hastalarda özellikle 4DE kullanımı ile 6 ay sonra sol ventrikül deformasyon parametrelerinde düzelme olmuştur. 4DE kullanımı günlük pratikte daha yaygın olmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Bayramoğlu A, ulutaş z, AKAYCAN J, Hidayet Ş, Taşolar H, CANSEL M, ERMIS N, CENGİL M, Güven F, pekdemir h (2023). Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. , 182 - 187. 10.5543/tkda.2022.47542
Chicago	Bayramoğlu Adil,ulutaş zeynep,AKAYCAN JÜLIDE,Hidayet Şıho,Taşolar Hakan,CANSEL MEHMET,ERMIS NECIP,CENGİL MUHAMMED ERKAM,Güven Fatih,pekdemir hasan Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. (2023): 182 - 187. 10.5543/tkda.2022.47542
MLA	Bayramoğlu Adil,ulutaş zeynep,AKAYCAN JÜLIDE,Hidayet Şıho,Taşolar Hakan,CANSEL MEHMET,ERMIS NECIP,CENGİL MUHAMMED ERKAM,Güven Fatih,pekdemir hasan Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. , 2023, ss.182 - 187. 10.5543/tkda.2022.47542
AMA	Bayramoğlu A,ulutaş z,AKAYCAN J,Hidayet Ş,Taşolar H,CANSEL M,ERMIS N,CENGİL M,Güven F,pekdemir h Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. . 2023; 182 - 187. 10.5543/tkda.2022.47542
Vancouver	Bayramoğlu A,ulutaş z,AKAYCAN J,Hidayet Ş,Taşolar H,CANSEL M,ERMIS N,CENGİL M,Güven F,pekdemir h Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. . 2023; 182 - 187. 10.5543/tkda.2022.47542
IEEE	Bayramoğlu A,ulutaş z,AKAYCAN J,Hidayet Ş,Taşolar H,CANSEL M,ERMIS N,CENGİL M,Güven F,pekdemir h "Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography." , ss.182 - 187, 2023. 10.5543/tkda.2022.47542
ISNAD	Bayramoğlu, Adil vd. "Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography". (2023), 182-187. https://doi.org/10.5543/tkda.2022.47542

APA	Bayramoğlu A, ulutaş z, AKAYCAN J, Hidayet Ş, Taşolar H, CANSEL M, ERMIS N, CENGİL M, Güven F, pekdemir h (2023). Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. Türk Kardiyoloji Derneği Arşivi, 51(3), 182 - 187. 10.5543/tkda.2022.47542
Chicago	Bayramoğlu Adil,ulutaş zeynep,AKAYCAN JÜLIDE,Hidayet Şıho,Taşolar Hakan,CANSEL MEHMET,ERMIS NECIP,CENGİL MUHAMMED ERKAM,Güven Fatih,pekdemir hasan Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. Türk Kardiyoloji Derneği Arşivi 51, no.3 (2023): 182 - 187. 10.5543/tkda.2022.47542
MLA	Bayramoğlu Adil,ulutaş zeynep,AKAYCAN JÜLIDE,Hidayet Şıho,Taşolar Hakan,CANSEL MEHMET,ERMIS NECIP,CENGİL MUHAMMED ERKAM,Güven Fatih,pekdemir hasan Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. Türk Kardiyoloji Derneği Arşivi, vol.51, no.3, 2023, ss.182 - 187. 10.5543/tkda.2022.47542
AMA	Bayramoğlu A,ulutaş z,AKAYCAN J,Hidayet Ş,Taşolar H,CANSEL M,ERMIS N,CENGİL M,Güven F,pekdemir h Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. Türk Kardiyoloji Derneği Arşivi. 2023; 51(3): 182 - 187. 10.5543/tkda.2022.47542
Vancouver	Bayramoğlu A,ulutaş z,AKAYCAN J,Hidayet Ş,Taşolar H,CANSEL M,ERMIS N,CENGİL M,Güven F,pekdemir h Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography. Türk Kardiyoloji Derneği Arşivi. 2023; 51(3): 182 - 187. 10.5543/tkda.2022.47542
IEEE	Bayramoğlu A,ulutaş z,AKAYCAN J,Hidayet Ş,Taşolar H,CANSEL M,ERMIS N,CENGİL M,Güven F,pekdemir h "Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography." Türk Kardiyoloji Derneği Arşivi, 51, ss.182 - 187, 2023. 10.5543/tkda.2022.47542
ISNAD	Bayramoğlu, Adil vd. "Evaluation of the Effect of Transcatheter Aortic Valve Implantation on Left Ventricular Function by 4-Dimensional Echocardiography". Türk Kardiyoloji Derneği Arşivi 51/3 (2023), 182-187. https://doi.org/10.5543/tkda.2022.47542