From: The beneficial effects of TAVI in mitral insufficiency
All | Preoperative MR | Preoperative MR | p value | |
---|---|---|---|---|
Grade 3–4 | Grade 1–2 | |||
Patients | 165 | 28 | 137 | |
Demographics | ||||
Males | 74 (44.8 %) | 19 (67.9 %) | 55 (40.1 %) | 0.01 |
Mean Age (years) | 80.2 ± 5.6 | 81 ± 5.2 | 79.9 ± 5.6 | 0.38 |
Weight (kg) | 67.1 ± 10.8 | 71.6 ± 7.2 | 66.2 ± 11.1 | 0.01 |
Height (m) | 1.62 ± 0.07 | 1.67 ± 0.05 | 1.61 ± 0.08 | 0.0005 |
Body surface area (m2) | 1.7 ± 0.2 | 1.81 ± 0.08 | 1.69 ± 0.16 | 0.0005 |
Ejection Fraction (%) | 51 ± 9.3 | 39.8 ± 7.5 | 53.2 ± 7.9 | <0.0001 |
Aortic valve | ||||
Peak gradient (mmHg) | 75.5 ± 17.5 | 63.8 ± 20.8 | 77.9 ± 15.7 | <0.0001 |
Mean gradient (mmHg) | 44.8 ± 8.2 | 39.5 ± 10.5 | 45.8 ± 7.2 | 0.0002 |
Aortic valve area (cm2) | 0.59 ± 0.9 | 0.58 ± 0.08 | 0.6 ± 0.1 | 0.34 |
Mitral valve | ||||
MR mechanism | ||||
Degenerative | 118 (71.5 %) | 7 (25 %) | 111 (81 %) | <0.0001 |
Functional | 47 (28.5 %) | 21 (75 %) | 26 (19 %) | <0.0001 |
Leaflets disease | ||||
Calcifications | 55 (33.3 %) | 2 (7.1 %) | 53 (38.7 %) | 0.0008 |
Thickening | 63 (38.2 %) | 5 (17.9 %) | 58 (42.3 %) | 0.02 |
Prolapse | 7 (4.2 %) | 2 (7.1 %) | 5 (3.6 %) | 0.33 |
1.9 ± 0.7 | 3.1 ± 0.3 | 1.6 ± 0.5 | <0.0001 | |
MR grade I | 54 (32.7 %) | 54 (192.9 %) | 0 (0 %) | n.c |
MR grade II | 83 (50.3 %) | 83 (296.4 %) | 0 (0 %) | n.c. |
MR grade III | 25 (15.2 %) | 0 (0 %) | 25 (18.2 %) | n.c. |
MR grade IV | 3 (1.8 %) | 0 (0 %) | 3 (2.2 %) | n.c. |
EROA (mm2) | 24.9 ± 8 | 38.5 ± 6.7 | 22.1 ± 4.7 | <0.0001 |
Vena contracta (mm) | 36.1 ± 11.8 | 55.4 ± 9.4 | 32.1 ± .7.5 | <0.0001 |
Regurgitant volume (ml) | 35.1 ± 10.2 | 50.8 ± 7 | 31.9 ± 7.3 | <0.0001 |
Regurgitant fraction (%) | 33.6 ± 9.9 | 48.6 ± 6.4 | 30.4 ± 7.2 | <0.0001 |
LA volume (ml) | 64.2 ± 14.3 | 79.6 ± 17.7 | 61 ± 11.1 | <0.0001 |
Procedure | ||||
Prosthesis model | ||||
Corevalve | 114 (69.1 %) | 19 (67.9 %) | 95 (69.3 %) | 0.99 |
Sapien | 51 (30.9 %) | 9 (32.1 %) | 42 (30.7 %) | 0.99 |
Valve size (mm) | 26.8 ± 2.5 | 27.8 ± 2.3 | 26.6 ± 2.4 | 0.02 |