{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T13:50:05Z","timestamp":1781531405971,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T00:00:00Z","timestamp":1688688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Transcatheter aortic valve replacement (TAVR) has become the standard of care for selected patients with severe aortic stenosis. Multidetector computed tomography (MDCT) and transoesophageal 2D\/3D (two\u2010dimensional\/three\u2010dimensional) echocardiography (ECHO) are used for aortic annulus (AA) sizing. The aim of this study was to compare the accuracy of AA sizing by ECHO versus MDCT for Edwards Sapien balloon expandable valve in a single center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>Data from 145 consecutive patients with TAVR (Sapien XT or Sapien S3) were analyzed retrospectively. A total of 139 (96%) patients had favorable outcomes after TAVR (at most mild aortic regurgitation and only one valve implanted). The 3D ECHO AA area and area\u2010derived diameter were smaller than the corresponding MDCT parameters (464\u00a0\u00b1\u00a099 vs. 479\u00a0\u00b1\u00a088\u00a0mm<jats:sup>2<\/jats:sup>, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001, and 24.2\u00a0\u00b1\u00a02.7 vs. 25.0\u00a0\u00b1\u00a05.5\u00a0mm, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.002, respectively). The 2D ECHO annulus measurement was smaller than both the MDCT and 3D ECHO area\u2010derived diameters (22.6\u00a0\u00b1\u00a02.9 vs. 25.0\u00a0\u00b1\u00a05.5\u00a0mm, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.013, and 22.6\u00a0\u00b1\u00a02.9 vs. 24.2\u00a0\u00b1\u00a02.7\u00a0mm, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001, respectively) but larger than the minor axis diameter of the AA derived from MDCT and 3D ECHO by multiplanar reconstruction (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). The 3D ECHO circumference\u2010derived diameter was also smaller than the MDCT circumference\u2010derived diameter (24.3\u00a0\u00b1\u00a02.5 vs. 25.0\u00a0\u00b1\u00a02.3, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.007). The sphericity index by 3D ECHO was smaller than that by MDCT (1.2\u00a0\u00b1\u00a0.1 vs. 1.3\u00a0\u00b1\u00a0.1, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). In up to 1\/3 of the patients, 3D ECHO measurements would have predicted different (generally smaller) valve size than was the valve size implanted with favorable result. The concordance of the implanted valve size with the recommended size based on preprocedural MDCT and 3D ECHO AA area was 79.4% versus 61% (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.001), and for the area\u2010derived diameter, the concordance was 80.1% versus 61.7% (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.001). 2D ECHO diameter concordance was similar to MDCT (78.7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>3D ECHO AA measurements are smaller than MDCT measurements. If 3D ECHO\u2010based parameters alone are used to size the Edwards Sapien balloon expandable valve, then the selected valve size would have been smaller than the valve size implanted with favorable result in 1\/3 of the patients. MDCT preprocedural TAVR assessment should be the preferred method over 3D ECHO in routine clinical practice to determine Edwards Sapien valve size.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.15643","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T14:27:32Z","timestamp":1688740052000},"page":"784-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Computed tomography is better than echocardiography in predicting balloon\u2010expandable transcutaneous implantation valve size in a real\u2010world clinical practice single\u2010center study"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1510-9186","authenticated-orcid":false,"given":"Karel","family":"Medilek","sequence":"first","affiliation":[{"name":"Department of Cardioangiology University Hospital Hradec Kralove Hradec Kralove Czech Republic"},{"name":"Faculty of Medicine Hradec Kralove Charles University Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Bis","sequence":"additional","affiliation":[{"name":"Department of Cardioangiology University Hospital Hradec Kralove Hradec Kralove Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Polansky","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery University Hospital Hradec Kralove Hradec Kralove Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Kvasnicka","sequence":"additional","affiliation":[{"name":"Department of Radiology University Hospital Hradec Kralove Hradec Kralove Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Borg","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mater Dei Hospital, Triq Dun Karm, L\u2010Imsida MSD 2090 and University of Malta Msida MSD Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaroslav","family":"Dusek","sequence":"additional","affiliation":[{"name":"Department of Cardioangiology University Hospital Hradec Kralove Hradec Kralove Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miroslav","family":"Brtko","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery University Hospital Hradec Kralove Hradec Kralove Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Tuna","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery University Hospital Hradec Kralove Hradec Kralove Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudolf","family":"Praus","sequence":"additional","affiliation":[{"name":"Department of Cardioangiology University Hospital Hradec Kralove Hradec Kralove Czech 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