Preoperative assessment of tricuspid valve replacement with LuX-Valve by CT: our initial exploration
10.3760/cma.j.cn112434-20220128-00033
- VernacularTitle:经导管三尖瓣置换装置LuX-Valve术前CT评估初步研究
- Author:
Jia YANG
1
;
Shun DAI
;
Yi ZHANG
;
An CHEN
;
Jingwen CHEN
;
Xinxing HU
;
Lei ZHANG
Author Information
1. 上海市第一人民医院放射科，上海 201620
- Keywords:
Tricuspid regurgitation;
Transcatheter tricuspid valve replacement;
CT;
Preoperative evaluation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(6):332-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the value of CT in preoperative assessment of tricuspid valve replacement with LuX-Valve.Methods:145 consecutive patients with severe tricuspid regurgitation from October 2020 to April 2021 were selected. The multi-slice spiral CT (256 slice and above) scans were used to measure related indicators. Then analyses were made to determine whether the patients were suitable for valves replacement and to select the appropriate valve model.Results:49 cases were excluded after CT measurements, including 8 cases because of the values of the valve annulus and the remaining 41 due to comprehensive indicators includes: valve annulus size and shape, fixation method and operational safety. A total of 96 TTVR operations were performed, of which 6 were treated with thoracic surgery, 1 had moderate valve regurgitation, and the rest had no or mild regurgitation or paravalvular leaks. The operations showed a high success rate of 92.7%. After comprehensive analysis, it was found that among the 89 successful tricuspid valve replacements with LuX-Valve, 26 cases had annulus models consistent with the measurements of the diameter from tricuspid annular circumferences, while the remaining 63 had valve models larger than the diameter measurements. The results indicate that the size of right atrium was statistically significant to the enlargement of the valve size.Conclusion:CT has important application value in the preoperative screening of TTVR. For non-radial force LuX-Valve, the annulus size is not the only decisive factor, and the valve model should be comprehensively judged considering all the measurement indicators.
