Intraprocedural versus next day transthoracic echocardiography following minimalist transfemoral TAVI.

IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Echo Research and Practice Pub Date : 2023-09-07 DOI:10.1186/s44156-023-00025-w

Panagiotis Savvoulidis, M Adnan Nadir, William E Moody, Richard Steeds, Peter F Ludman, Joseph R Bradley, Aldrin Singh, Ewa Lawton, Sagar N Doshi

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引用次数: 0

Abstract

Background: Routine pre-discharge echocardiography (ECHO) is recommended post transcatheter aortic valve implantation (TAVI) as a baseline for future comparison. However, there is no clear guidance on the optimal timing of this study.

Aim: The purpose of this retrospective study was to investigate the safety and work-force efficiency of intraprocedural same-day ECHO versus next-day ECHO, following transfemoral TAVI.

Methods and results: In this retrospective study 100 consecutive patients who underwent intraprocedural ECHO only were compared with 100 consecutive patients undergoing both intraprocedural and routine next-day ECHO following elective transfemoral TAVI. All patients received the Sapien 3/Ultra transcatheter heart valve and were treated with a minimalist procedure with conscious sedation. The composite of in-hospital mortality, urgent ECHO and new tamponade after leaving the cath lab and before discharge was not different between the two groups (4 vs. 4%, P = 1). There was no paravalvular leak more than mild in any of the cases. Length of stay was similar (1 day).

Conclusions: Intraprocedural post-TAVI ECHO appears as safe as next day pre-discharge ECHO and obviates the need for a routine next day study, thereby reducing burden on echocardiography services and allows better utilisation of resources.

Abstract Image

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最低限度经股动脉TAVI术中与次日经胸超声心动图对比。

背景：建议将常规出院前超声心动图（ECHO）作为经导管主动脉瓣植入术（TAVI）后的基线进行未来比较。然而，对于这项研究的最佳时机，目前还没有明确的指导。目的：本回顾性研究的目的是调查术中当天ECHO与次日ECHO的安全性和工作效率，方法和结果：在这项回顾性研究中，将100名仅接受术中ECHO的连续患者与100名在选择性经股TAVI后同时接受术中和常规次日ECHO的患者进行比较。所有患者均接受Sapien 3/Ultra经导管心脏瓣膜，并采用最低限度的清醒镇静程序进行治疗。出院后出院前的住院死亡率、紧急ECHO和新的填塞物的复合率在两组之间没有差异（4%对4%，P = 1）。在任何一个病例中都没有超过轻度的瓣膜周围渗漏。住院时间相似（1天）。结论：术中TAVI后ECHO与出院前第二天ECHO一样安全，无需进行第二天的常规研究，从而减轻超声心动图服务的负担，更好地利用资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Echo Research and Practice CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.70

自引率

12.70%

发文量

审稿时长

8 weeks

期刊介绍： Echo Research and Practice aims to be the premier international journal for physicians, sonographers, nurses and other allied health professionals practising echocardiography and other cardiac imaging modalities. This open-access journal publishes quality clinical and basic research, reviews, videos, education materials and selected high-interest case reports and videos across all echocardiography modalities and disciplines, including paediatrics, anaesthetics, general practice, acute medicine and intensive care. Multi-modality studies primarily featuring the use of cardiac ultrasound in clinical practice, in association with Cardiac Computed Tomography, Cardiovascular Magnetic Resonance or Nuclear Cardiology are of interest. Topics include, but are not limited to: 2D echocardiography 3D echocardiography Comparative imaging techniques – CCT, CMR and Nuclear Cardiology Congenital heart disease, including foetal echocardiography Contrast echocardiography Critical care echocardiography Deformation imaging Doppler echocardiography Interventional echocardiography Intracardiac echocardiography Intraoperative echocardiography Prosthetic valves Stress echocardiography Technical innovations Transoesophageal echocardiography Valve disease.