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Erschienen in: European Radiology 12/2015

01.12.2015 | Magnetic Resonance

Four-year cardiac magnetic resonance (CMR) follow-up of patients treated with percutaneous pulmonary valve stent implantation

verfasst von: Francesco Secchi, Elda Chiara Resta, Paola Maria Cannaò, Silvia Tresoldi, Gianfranco Butera, Mario Carminati, Francesco Sardanelli

Erschienen in: European Radiology | Ausgabe 12/2015

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Abstract

Objectives

To investigate follow-up after percutaneous pulmonary valve implantation (PPVI).

Methods

Forty patients with pulmonary conduit dysfunction (males/females 24/16; 21 ± 08 years; 12 tetralogy of Fallot, 11 aortic valve disease, 17 other congenital heart disease) were planned for CMR before PPVI and repeated 7 times up to 48 months. CMR prospective results regarded: pressure gradient (PG) and regurgitation fraction (RF); end-diastolic volume, end-systolic volume, and stroke volume indexed to body surface area (EDVI, ESVI, and SVI); ejection fraction (EF) of right and left ventricles (RV, LV). A Friedman test was used for comparisons.

Results

Overall, PG (31 ± 06 to 16 ± 4 mmHg), RF (16 ± 17 to 0.3 ± 1 %), RVEDVI (82 ± 38 to 58 ± 12 ml/m2), and RVESVI (44 ± 12 to 30 ± 13 ml/m2) declined (p < 0.001), RVEF (49 ± 13 to 58 ± 12 %) and RVSVI (from 38 ± 14 to 40 ± 8 ml/m2) increased (p < 0.001), LVEDVI (67 ± 17 to 73 ± 18 ml/m2) and LVSVI (37 ± 11 to 43 ± 10 ml/m2) increased (p = 0.034 and p < 0.001). Two patients had valve fracture at 24 and 36 months and underwent surgery. One patient had stent restenosis at 24 months and underwent percutaneous retreatment. Baseline/follow-up CMR did not predict PPVI failure.

Conclusions

CMR demonstrated restored pulmonary conduit function, reduced RV volumes and increased RV and LV function but did not predict valve fracture/restenosis.

Key points

• A CMR 4-year follow-up after PPVI showed restored pulmonary conduit function
• RV volumes were significantly reduced
• RV function was significantly better in terms of increased EF and SVI
• LV function was significantly better in terms of increased EDVI and SVI
• Baseline/follow-up CMR did not predict three cases of PPVI failure
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Metadaten
Titel
Four-year cardiac magnetic resonance (CMR) follow-up of patients treated with percutaneous pulmonary valve stent implantation
verfasst von
Francesco Secchi
Elda Chiara Resta
Paola Maria Cannaò
Silvia Tresoldi
Gianfranco Butera
Mario Carminati
Francesco Sardanelli
Publikationsdatum
01.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 12/2015
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-3781-5

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