A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve

Mariama Akodad, MD, PhD; David Meier, MD; Georgios Tzimas, MD; Jonathon Leipsic, MD; Philipp Blanke, MD; David A. Wood, MD; John G. Webb, MD; Janarthanan Sathananthan, MB ChB, MD

JACC: Case Reports (May 2023)

A Simplified Fluoroscopic Method for Commissural Alignment Assessment With a Balloon-Expandable Transcatheter Heart Valve

Mariama Akodad, MD, PhD,
David Meier, MD,
Georgios Tzimas, MD,
Jonathon Leipsic, MD,
Philipp Blanke, MD,
David A. Wood, MD,
John G. Webb, MD,
Janarthanan Sathananthan, MB ChB, MD

Affiliations

Mariama Akodad, MD, PhD: Centre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Division of Cardiology, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada; Cardiovascular Translational Laboratory, Centre for Heart Lung Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada; Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Ramsay Santé, Massy, France
David Meier, MD: Centre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Division of Cardiology, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada; Cardiovascular Translational Laboratory, Centre for Heart Lung Innovation, St. Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada
Georgios Tzimas, MD: Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
Jonathon Leipsic, MD: Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
Philipp Blanke, MD: Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
David A. Wood, MD: Centre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada
John G. Webb, MD: Centre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada
Janarthanan Sathananthan, MB ChB, MD: Centre for Heart Valve Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Cardiovascular Innovation, St Paul’s and Vancouver General Hospitals, Vancouver, British Columbia, Canada; Address for correspondence: Dr Janarthanan Sathananthan, St. Paul’s Hospital, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.

Journal volume & issue: Vol. 13
p. 101804

Abstract

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We sought to assess commissural alignment of the balloon-expandable valve on fluoroscopy. Commissural alignment was defined on fluoroscopy in 20 patients according to alignment of the valve commissural posts in the 3-cusp and the cusp-overlap view and correlated with post–transcatheter aortic valve replacement computed tomography. Agreement was strong between computed tomography and fluoroscopy (weighted Cohen’s kappa coefficient: 0.88). (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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