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Assessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach

Background: Accurate assessment of aortic valve area (AVA) is important for clinical decision-making in patients with aortic valve stenosis (AS). The role of three-dimensional echocardiography (3D) in the quantitative assessment of AS has not been evaluated so far. Objectives: To evaluate the reprod... Full description

Journal Title: Heart (British Cardiac Society) 2007, Vol.93 (7), p.801-807
Main Author: Goland, Sorel
Other Authors: Trento, Alfredo , Iida, Kiyoshi , Czer, Lawrence S C , De Robertis, Michele , Naqvi, Tasneem Z , Tolstrup, Kirsten , Akima, Takashi , Luo, Huai , Siegel, Robert J
Format: Electronic Article Electronic Article
Language: English
Subjects:
AVA
AVR
LAX
TEE
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and British Cardiovascular Society
ID: ISSN: 1355-6037
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title: Assessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach
format: Article
creator:
  • Goland, Sorel
  • Trento, Alfredo
  • Iida, Kiyoshi
  • Czer, Lawrence S C
  • De Robertis, Michele
  • Naqvi, Tasneem Z
  • Tolstrup, Kirsten
  • Akima, Takashi
  • Luo, Huai
  • Siegel, Robert J
subjects:
  • 2D-TTE
  • 3D-guided two-dimensional imaging
  • 3D/2D
  • Abridged Index Medicus
  • Adult
  • Aged, 80 and over
  • Agreements
  • aortic stenosis
  • aortic valve area
  • aortic valve replacement
  • Aortic valve stenosis
  • Aortic Valve Stenosis - diagnostic imaging
  • AVA
  • AVR
  • Biological and medical sciences
  • Cardiac Catheterization - standards
  • Cardiology. Vascular system
  • Cardiovascular system
  • Catheters
  • Development and progression
  • Diagnosis
  • Echocardiography
  • Echocardiography, Three-Dimensional - standards
  • Electrocardiography
  • Endocardial and cardiac valvular diseases
  • Evaluation
  • Female
  • Heart
  • Humans
  • Investigative techniques, diagnostic techniques (general aspects)
  • LAX
  • left ventricular outflow tract
  • long axis
  • LVOT
  • Male
  • Medical sciences
  • Methods
  • Middle Aged
  • Observer Variation
  • Patients
  • Rapid Communication
  • RT3D
  • Sensitivity and Specificity
  • TEE
  • Three-dimensional ultrasonography
  • transoesophageal echocardiography
  • transthoracic echocardiography using transvalvular Doppler
  • transthoracic real-time three-dimensional echocardiography
  • Ultrasonic investigative techniques
ispartof: Heart (British Cardiac Society), 2007, Vol.93 (7), p.801-807
description: Background: Accurate assessment of aortic valve area (AVA) is important for clinical decision-making in patients with aortic valve stenosis (AS). The role of three-dimensional echocardiography (3D) in the quantitative assessment of AS has not been evaluated so far. Objectives: To evaluate the reproducibility and accuracy of real-time three-dimensional echocardiography (RT3D) and 3D-guided two-dimensional planimetry (3D/2D) for assessment of AS, and compare these results with those of standard echocardiography and cardiac catheterisation (Cath). Methods: AVA was estimated by transthoracic echo-Doppler (TTE) and by direct planimetry using transoesophageal echocardiography (TEE) as well as RT3D and 3D/2D. 15 patients underwent assessment of AS by Cath. Results: 33 patients with AS were studied (20 men, mean (SD) age 70 (14) years). Bland–Altman analysis showed good agreement and small absolute differences in AVA between all planimetric methods (RT3D vs 3D/2D: −0.01 (0.15) cm2; 3D/2D vs TEE: 0.05 (0.22) cm2; RT3D vs TEE: 0.06 (0.26) cm2). The agreement between AVA assessment by 2D–TTE and planimetry was −0.01 (0.20) cm2 for 3D/2D; 0.00 (0.15) cm2 for RT3D; and −0.05 (0.30) cm2 for TEE. Correlation coefficient r for AVA assessment between each of 3D/2D, RT3D, TEE planimetry and Cath was 0.81, 0.86 and 0.71, respectively. The intraobserver variability was similar for all methods, but interobserver variability was better for 3D techniques than for TEE (p
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1355-6037
fulltext: fulltext
issn:
  • 1355-6037
  • 1468-201X
url: Link


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titleAssessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach
sourceAlma/SFX Local Collection
creatorGoland, Sorel ; Trento, Alfredo ; Iida, Kiyoshi ; Czer, Lawrence S C ; De Robertis, Michele ; Naqvi, Tasneem Z ; Tolstrup, Kirsten ; Akima, Takashi ; Luo, Huai ; Siegel, Robert J
creatorcontribGoland, Sorel ; Trento, Alfredo ; Iida, Kiyoshi ; Czer, Lawrence S C ; De Robertis, Michele ; Naqvi, Tasneem Z ; Tolstrup, Kirsten ; Akima, Takashi ; Luo, Huai ; Siegel, Robert J
descriptionBackground: Accurate assessment of aortic valve area (AVA) is important for clinical decision-making in patients with aortic valve stenosis (AS). The role of three-dimensional echocardiography (3D) in the quantitative assessment of AS has not been evaluated so far. Objectives: To evaluate the reproducibility and accuracy of real-time three-dimensional echocardiography (RT3D) and 3D-guided two-dimensional planimetry (3D/2D) for assessment of AS, and compare these results with those of standard echocardiography and cardiac catheterisation (Cath). Methods: AVA was estimated by transthoracic echo-Doppler (TTE) and by direct planimetry using transoesophageal echocardiography (TEE) as well as RT3D and 3D/2D. 15 patients underwent assessment of AS by Cath. Results: 33 patients with AS were studied (20 men, mean (SD) age 70 (14) years). Bland–Altman analysis showed good agreement and small absolute differences in AVA between all planimetric methods (RT3D vs 3D/2D: −0.01 (0.15) cm2; 3D/2D vs TEE: 0.05 (0.22) cm2; RT3D vs TEE: 0.06 (0.26) cm2). The agreement between AVA assessment by 2D–TTE and planimetry was −0.01 (0.20) cm2 for 3D/2D; 0.00 (0.15) cm2 for RT3D; and −0.05 (0.30) cm2 for TEE. Correlation coefficient r for AVA assessment between each of 3D/2D, RT3D, TEE planimetry and Cath was 0.81, 0.86 and 0.71, respectively. The intraobserver variability was similar for all methods, but interobserver variability was better for 3D techniques than for TEE (p<0.05). Conclusions: The 3D echo methods for planimetry of the AVA showed good agreement with the standard TEE technique and flow-derived methods. Compared with AV planimetry by TEE, both 3D methods were at least as good as TEE and had better reproducibility. 3D aortic valve planimetry is a novel non-invasive technique, which provides an accurate and reliable quantitative assessment of AS.
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0ISSN: 1355-6037
1EISSN: 1468-201X
2DOI: 10.1136/hrt.2006.110726
3PMID: 17488766
languageeng
publisherLondon: BMJ Publishing Group Ltd and British Cardiovascular Society
subject2D-TTE ; 3D-guided two-dimensional imaging ; 3D/2D ; Abridged Index Medicus ; Adult ; Aged, 80 and over ; Agreements ; aortic stenosis ; aortic valve area ; aortic valve replacement ; Aortic valve stenosis ; Aortic Valve Stenosis - diagnostic imaging ; AVA ; AVR ; Biological and medical sciences ; Cardiac Catheterization - standards ; Cardiology. Vascular system ; Cardiovascular system ; Catheters ; Development and progression ; Diagnosis ; Echocardiography ; Echocardiography, Three-Dimensional - standards ; Electrocardiography ; Endocardial and cardiac valvular diseases ; Evaluation ; Female ; Heart ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; LAX ; left ventricular outflow tract ; long axis ; LVOT ; Male ; Medical sciences ; Methods ; Middle Aged ; Observer Variation ; Patients ; Rapid Communication ; RT3D ; Sensitivity and Specificity ; TEE ; Three-dimensional ultrasonography ; transoesophageal echocardiography ; transthoracic echocardiography using transvalvular Doppler ; transthoracic real-time three-dimensional echocardiography ; Ultrasonic investigative techniques
ispartofHeart (British Cardiac Society), 2007, Vol.93 (7), p.801-807
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4De Robertis, Michele
5Naqvi, Tasneem Z
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7Akima, Takashi
8Luo, Huai
9Siegel, Robert J
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0Assessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach
1Heart (British Cardiac Society)
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descriptionBackground: Accurate assessment of aortic valve area (AVA) is important for clinical decision-making in patients with aortic valve stenosis (AS). The role of three-dimensional echocardiography (3D) in the quantitative assessment of AS has not been evaluated so far. Objectives: To evaluate the reproducibility and accuracy of real-time three-dimensional echocardiography (RT3D) and 3D-guided two-dimensional planimetry (3D/2D) for assessment of AS, and compare these results with those of standard echocardiography and cardiac catheterisation (Cath). Methods: AVA was estimated by transthoracic echo-Doppler (TTE) and by direct planimetry using transoesophageal echocardiography (TEE) as well as RT3D and 3D/2D. 15 patients underwent assessment of AS by Cath. Results: 33 patients with AS were studied (20 men, mean (SD) age 70 (14) years). Bland–Altman analysis showed good agreement and small absolute differences in AVA between all planimetric methods (RT3D vs 3D/2D: −0.01 (0.15) cm2; 3D/2D vs TEE: 0.05 (0.22) cm2; RT3D vs TEE: 0.06 (0.26) cm2). The agreement between AVA assessment by 2D–TTE and planimetry was −0.01 (0.20) cm2 for 3D/2D; 0.00 (0.15) cm2 for RT3D; and −0.05 (0.30) cm2 for TEE. Correlation coefficient r for AVA assessment between each of 3D/2D, RT3D, TEE planimetry and Cath was 0.81, 0.86 and 0.71, respectively. The intraobserver variability was similar for all methods, but interobserver variability was better for 3D techniques than for TEE (p<0.05). Conclusions: The 3D echo methods for planimetry of the AVA showed good agreement with the standard TEE technique and flow-derived methods. Compared with AV planimetry by TEE, both 3D methods were at least as good as TEE and had better reproducibility. 3D aortic valve planimetry is a novel non-invasive technique, which provides an accurate and reliable quantitative assessment of AS.
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13D-guided two-dimensional imaging
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23Electrocardiography
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31left ventricular outflow tract
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43TEE
44Three-dimensional ultrasonography
45transoesophageal echocardiography
46transthoracic echocardiography using transvalvular Doppler
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48Ultrasonic investigative techniques
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titleAssessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach
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02D-TTE
13D-guided two-dimensional imaging
23D/2D
3Abridged Index Medicus
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5Aged, 80 and over
6Agreements
7aortic stenosis
8aortic valve area
9aortic valve replacement
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14Biological and medical sciences
15Cardiac Catheterization - standards
16Cardiology. Vascular system
17Cardiovascular system
18Catheters
19Development and progression
20Diagnosis
21Echocardiography
22Echocardiography, Three-Dimensional - standards
23Electrocardiography
24Endocardial and cardiac valvular diseases
25Evaluation
26Female
27Heart
28Humans
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31left ventricular outflow tract
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33LVOT
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35Medical sciences
36Methods
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38Observer Variation
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40Rapid Communication
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0Goland, Sorel
1Trento, Alfredo
2Iida, Kiyoshi
3Czer, Lawrence S C
4De Robertis, Michele
5Naqvi, Tasneem Z
6Tolstrup, Kirsten
7Akima, Takashi
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atitleAssessment of aortic stenosis by three-dimensional echocardiography: an accurate and novel approach
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notesCorrespondence to:
 Dr R J Siegel
 Division of Cardiology, Room 5623, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles,CA 90048, USA;siegel@cshs.org
abstractBackground: Accurate assessment of aortic valve area (AVA) is important for clinical decision-making in patients with aortic valve stenosis (AS). The role of three-dimensional echocardiography (3D) in the quantitative assessment of AS has not been evaluated so far. Objectives: To evaluate the reproducibility and accuracy of real-time three-dimensional echocardiography (RT3D) and 3D-guided two-dimensional planimetry (3D/2D) for assessment of AS, and compare these results with those of standard echocardiography and cardiac catheterisation (Cath). Methods: AVA was estimated by transthoracic echo-Doppler (TTE) and by direct planimetry using transoesophageal echocardiography (TEE) as well as RT3D and 3D/2D. 15 patients underwent assessment of AS by Cath. Results: 33 patients with AS were studied (20 men, mean (SD) age 70 (14) years). Bland–Altman analysis showed good agreement and small absolute differences in AVA between all planimetric methods (RT3D vs 3D/2D: −0.01 (0.15) cm2; 3D/2D vs TEE: 0.05 (0.22) cm2; RT3D vs TEE: 0.06 (0.26) cm2). The agreement between AVA assessment by 2D–TTE and planimetry was −0.01 (0.20) cm2 for 3D/2D; 0.00 (0.15) cm2 for RT3D; and −0.05 (0.30) cm2 for TEE. Correlation coefficient r for AVA assessment between each of 3D/2D, RT3D, TEE planimetry and Cath was 0.81, 0.86 and 0.71, respectively. The intraobserver variability was similar for all methods, but interobserver variability was better for 3D techniques than for TEE (p<0.05). Conclusions: The 3D echo methods for planimetry of the AVA showed good agreement with the standard TEE technique and flow-derived methods. Compared with AV planimetry by TEE, both 3D methods were at least as good as TEE and had better reproducibility. 3D aortic valve planimetry is a novel non-invasive technique, which provides an accurate and reliable quantitative assessment of AS.
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pmid17488766
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