Search results for "transcatheter heart valve"
showing 2 items of 2 documents
Anatomical and procedural features associated with aortic root rupture during balloon-expandable transcatheter aortic valve replacement
2013
Background— Aortic root rupture is a major concern with balloon-expandable transcatheter aortic valve replacement (TAVR). We sought to identify predictors of aortic root rupture during balloon-expandable TAVR by using multidetector computed tomography. Methods and Results— Thirty-one consecutive patients who experienced left ventricular outflow tract (LVOT)/annular/aortic contained/noncontained rupture during TAVR were collected from 16 centers. A caliper-matched sample of 31 consecutive patients without annular rupture, who underwent pre-TAVR multidetector computed tomography served as a control group. Multidetector computed tomography assessment included short- and long-axis diameters an…
3D Printing and Computational Modeling for the Evaluation of LVOT obstruction in Transcatheter Mitral Valve Replacement
2022
Transcatheter mitral valve replacement (TMVR) is an emerging alternative treatment for those patients not qualified for surgery. However, TMVR can determine an obstruction of the left ventricular outflow tract (namely, neo-LVOT) induced by the transcatheter heart valve (THV) displacing the native mitral valve leaflet towards the myocardial wall. This condition can lead to haemodynamic impairment and ultimately patient death. We sought to predict the neo-LVOT obstruction by first developing patient-specific simulations of the THV deployment and then comparing predictions with post-TMVR diagnostic images and 3D printed human models. Using pre-TMVR computed-tomography (CT) imaging, patient-spe…