aortic valve insufficieny aortic valve leak aortic valve regurgitation
Conditions
Interventions
None listed
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged >18y 2. At least mild (grade 1 or more) aortic regurgitation (AR) on contrast aortography or echocardiography 3. Per protocol Contrast aortography 4. Contrast aortography meets all the image quality criteria that allows quantification of AR by qRA 5. Cardiac MRI (CMRI) can be performed within 1 week of aortography 6. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Advanced renal impairment that precludes contrast aortography (eGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Regurgitant volume and regurgitant fraction measured by velocity encoded MRI 2. qRA-index measured on aortography | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Semi-quantitative TTE measurements a. in patients without TAVI or pre-TAVI: i. Vena contracta (VC) width (mm) ii. Pressure half-time (PHT) (ms) b. only in case of TAVI: Post-TAVI: i. Circumferential extent of prosthetic valve paravalvular regurgitation ii. Diastolic flow reversal in the descending aorta 2. Quantitative TTE(pre-) / TOE (post) measurements (only in case of TAVI: pre- and post-TAVI) a. Effective regurgitant orifice area (EROA) (mm2) b. Regurgitant Volume (RV) (ml) 3. Sinning index / (AR-index) calculated from haemodynamic pressure measurements | — |
Countries
Netherlands
Outcome results
None listed