From: Methods of estimation of mitral valve regurgitation for the cardiac surgeon
Mode of evaluation | Advantages | Disadvantages |
---|---|---|
Angiography | -simultaneous calculation of SVR, PVR, LVEDP, PCWP, EF, etc (1,6) -easy interpretation by cardiologists and cardiac surgeons (6) | -invasive method, risk of complications(5) -misinterpretation in double valve disease (1,6) -higher cost (5,6) -temporarily affects hemodynamic of patient (SVR, PVR) and obscure the results (5) -time-consuming |
Doppler | - non-invasive method - no risks - low-cost - time-consuming - does not affect hemodynamically the patient - semi-quantitative | - overlapping structures - "bad" window - operator depending discomfort+hemodynamic interaction of TEE – limitations (see text) - influence of site of Jet |
MRI | - measurement of LVEDV, LVESV, LV mass - no risk - non invasive tool - precise and valid estimation (23,24) - does not need suppression or anaesthesia (such as TEE) - estimation of myocardial function and viability (9,29) | - respiratory interference -not-hemodynamic measurement - not-anatomic information - discomfort for the patient - artefacts in the case of metallic materials (40,41) |