Universität zu Köln

Arsalan, Math, Agricola, Eustachio, Alfieri, Ottavio, Baldus, Stephan, Colombo, Antonio, Filardo, Giovanni, Hammerstingl, Christophe, Huntgeburth, Michael, Kreidel, Felix, Kuck, Karl-Heinz, LaCanna, Giovanni, Messika-Zeitoun, David, Maisano, Francesco ORCID: 0000-0002-3691-1709, Nickenig, Georg, Pollock, Benjamin D., Roberts, Bradley J., Vahanian, Alec and Grayburn, Paul A. (2016). Effect of Transcatheter Mitral Annuloplasty With the Cardioband Device on 3-Dimensional Geometry of the Mitral Annulus. Am. J. Cardiol., 118 (5). S. 744 - 750. BRIDGEWATER: EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC. ISSN 1879-1913

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Abstract

This study was performed to assess the acute intraprocedural effects of transcatheter direct mitral annuloplasty using the Cardioband device on 3-dimensional (3D) anatomy of the mitral annulus. Of 45 patients with functional mitral regurgitation (MR) enrolled in a single arm, multicenter, prospective trial, 22 had complete pre- and post-implant 3D transesophageal echocardiography (TEE) images stored in native data format that allowed off-line 3D reconstruction. Images with the highest volume rate and best image quality were selected for analysis. Multiple measurements of annular geometry were compared from baseline to post-implant using paired t tests with Bonferroni correction to account for multiple comparisons. The device was successfully implanted in all patients, and MR was reduced to moderate in 2 patients, mild in 17 patients, and trace in 3 patients after final device cinching. Compared with preprocedural TEE, postprocedural TEE showed statistically significantly reductions in annular circumference (137 +/- 15 vs 128 +/- 17 mm; p = 0.042), intercommissural distance (42.4 +/- 4.3 vs 38.6 +/- 4.4 mm; p = 0.029), anteroposterior distance (40.9 +/- 5.4 vs 37.0 +/- 5.7 mm; p = 0.025), and aortic-mitral angle (117 +/- 8 degrees vs 112 +/- 8 degrees; p = 0.032). This study demonstrates that transcatheter direct mitral annuloplasty with the Cardioband device results in acute remodeling of the mitral annulus with successful reduction of functional MR. (C) 2016 Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Arsalan, Math UNSPECIFIED UNSPECIFIED UNSPECIFIED Agricola, Eustachio UNSPECIFIED UNSPECIFIED UNSPECIFIED Alfieri, Ottavio UNSPECIFIED UNSPECIFIED UNSPECIFIED Baldus, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Colombo, Antonio UNSPECIFIED UNSPECIFIED UNSPECIFIED Filardo, Giovanni UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammerstingl, Christophe UNSPECIFIED UNSPECIFIED UNSPECIFIED Huntgeburth, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreidel, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuck, Karl-Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED LaCanna, Giovanni UNSPECIFIED UNSPECIFIED UNSPECIFIED Messika-Zeitoun, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Maisano, Francesco UNSPECIFIED orcid.org/0000-0002-3691-1709 UNSPECIFIED Nickenig, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Pollock, Benjamin D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roberts, Bradley J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vahanian, Alec UNSPECIFIED UNSPECIFIED UNSPECIFIED Grayburn, Paul A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-264899
DOI:	10.1016/j.amjcard.2016.06.012
Journal or Publication Title:	Am. J. Cardiol.
Volume:	118
Number:	5
Page Range:	S. 744 - 750
Date:	2016
Publisher:	EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
Place of Publication:	BRIDGEWATER
ISSN:	1879-1913
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language VALVE REPAIR; REGURGITATION; ECHOCARDIOGRAPHY; RECOMMENDATIONS; ASSOCIATION; MECHANISMS; SEVERITY; FORCE Multiple languages Cardiac & Cardiovascular Systems Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26489