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Table 6 Echocardiographic postoperative results

From: Mid-term results of 150 TAVI comparing apical versus femoral approaches

Echocardiographic characteristics

Preoperative

Postoperative

One month

Six months

One year

Two years

Population (n)

n = 150

n = 144

n = 125

n = 101

n = 52

n = 25

Mean gradient (mmHg)

52.8 +/−11.5

11.8+/−4.9

11+/−4.6

11.5+/−5.2

11.9+/−4.4

11.2+/−3.8

p < 0.001

p < 0.001

Maximal gradient (mmHg)

83.7 +/−16.1

21.5+/−8.1

22.1+/−18.8

21.4+/−7.7

20.5+/−5.6

19.6+/−4.3

p < 0.001

p < 0.001

Vmax (m/s)

4.3 +/−0.8

2.1+/−0.4

1.7+/−0.5

1.7+/−0.6

1.6+/−0.5

1.7+/−0.5

p < 0.001

p < 0.001

Aortic area (cm2)

0.6 +/−0.2

1.6+/−0.4

1.2+/−0.4

1.2+/−0.3

1.2+/−0.4

1.2+/−0.4

p < 0.001

p < 0.001

LVEF (%)

52.8+/−12.5

52.4+/−12.1

54.6+/−10.4

55+/−10.7

54.4+/−10.9

52.8+/−12.5

p = 0.002

p = 0.026

p = 0.056

Diastolic function E/E’

11.4+/−4.2

11.4+/−3.8

11.5+/−3.4

11.7+/−3.8

11.5+/−3.4

11.7+/−3.9

NS

PAPS (mmHg)

46.3+/− 12.6

40.8+/−12

41.7+/−10.7

41.5+/−10.5

40.5+/−11.2

38.8+/−6.4

p = 0.006

p < 0.001

p = 0.078

p = 0.045

TAPSE (mm)

15.2+/−3

13.8+/−3.2

15.4+/−3

15.1+/−2.9

14.8+/−3.4

14.2+/−3.2

NS

Central aortic regurgitation

/

4 (2.8 %)

3 (2.4 %)

2 (2.0 %)

1 (1.9 %)

0 (0 %)

NS

Paraprosthetic regurgitation

/

74 (51.4 %)

38 (30.4 %)

14 (13.8 %)

10 (19.2 %)

8 (32.0 %)

p < 0.001

Grade 1

/

35 (24.3 %)

24 (19.2 %)

6 (59.4 %)

6 (11.5 %)

6 (24.0 %)

Grade 2

/

39 (27.1 %)

13 (10.6 %)

8 (7.9 %)

4 (7.6 %)

2 (8 %)

Mitral regurgitation

63 (42 %)

83 (57.6 %)

88 (70.6 %)

72 (71.2 %)

37 (71.1 %)

19 (76.0 %)

Grade 1

29 (19.3 %)

12 (8.3 %)

49 (32.2 %)

33 (32.6 %)

15 (19.2 %)

8 (32.0 %)

Grade 2

31 (20.7 %)

71 (49.3 %)

39 (31.2 %)

39 (38.6 %)

22 (42.3 %)

11 (44.0 %)

Grade 3

3 (2 %)

0 (0 %)

0 (0 %)

0 (0 %)

0 (0 %)

0 (0 %)

  1. LVEF left ventricular ejection fraction, PASP pulmonary artery systolic pressure, TAPSE tricuspid annular plane systolic excursion