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Table 2 Preoperative TTE and CT characteristics

From: Aortic valve calcium volume as measured by native versus contrast-enhanced computer tomography and the implications for the diagnosis of severe aortic stenosis in TAVR patients with low-gradient aortic stenosis

 

HG AS 293 (61.2%)

LG AS 186 (38.8%)

Total 479

p value

Echocardiographic parameters

Max PG mmHg

71 (64–91)

48 (32–59)

63 (48.7–84.5)

 < 0.05

Mean PG mmHg

46 (42–59)

32 (26–35)

41 (32.7–49.7)

 < 0.05

AVA cm2

0.83 (0.7–0.9)

0.7 (0.7–0.8)

0.75 (0.7–0.9)

ns

RVSP mmHg

38 (12)

50 (15)

41 (13)

 < 0.05

LVEF %

54 (14)

47 (11)

51.2 (13)

ns

More than mod. MR

69 (23.3)

45 (24.2)

114 (23.8)

ns

More than mod.TR

37 (12.6)

37 (19.9)

74 (15.4)

 < 0.05

CT parameters

    

Mean annulus D (mm)

25 mm (23–25.5)

23.5 mm (21.5–27)

23.5 (23–26)

ns

Max annulus D (mm)

26 (25–28)

26 (25–28)

26 (22–30)

ns

Min annulus D (mm)

23 (20–24)

20 (19–24)

21.5 (20–24)

 < 0.05

LVOT (mm)

25 mm (23–26.7)

23 (20–20)

25 (22–26)

 < 0.05

Eccentricity index

0.11 (0.1–0.2)

0.23 (0.19–0.27)

0.17 (0.1–0.21)

 < 0.05

Annulus area (mm2)

504 (412–510)

388.5 (332–510)

458 (394–510)

ns

Annulus perimeter (mm)

78.5 (74–83)

72 (68.2–81)

76 (73–83)

ns

MS (mm)

3 (2.5–4.9)

5 (4–5.2)

3.7 (2.6–5.1)

ns

Aortic tilting angel

44 (43–45)

44 (44–48)

44 (43–48)

ns

Calc score (Agaston)

2069 (894–2477)

928 (572–1284)

1288 (750–1815)

 < 0.05

Calc score (850 HU)

254 (158–583)

86 (11–107)

141 (89–351)

 < 0.05

Calc score (modified HU)

1641(1292–1990)

392.5 (216–947)

947 (384–2202)

 < 0.05

AVC V (mm3)

1537 mm3 (644–1860)

286 mm3 (160–700)

701 (239–1632)

 < 0.05

AVC V (mm3) (850 HU)

101 (65–256)

51 (8–77)

186 (114–426)

 < 0.05

AVC V (mm3) (modified HU)

266.5 (160–701)

137 (49–196)

197 (139–532)

 < 0.05

Calc. LCC V (mm3) (modified HU)

320 (125–543)

113 (56–270)

150 mm3 (41–500)

 < 0.05

Calc. RCC V (mm3) (modified HU)

600 (261–553)

94 (45–198)

289 mm3 (82–550)

 < 0.05

Calc. NCC V (mm3) (modified HU)

732 (262–799)

208 (111–300)

300 mm3 (119–750)

 < 0.05

  1. RBBB, right bundle branch block; LBBB, left bundle branch block; LAHB, links anterior hemiblock; PG, pressure gradient; AVA, aortic valve area; RVSP, right ventricular systolic pressure; LVEF, left ventricular ejection fraction; D, diameter; LVOT, left ventricular outflow tract; MS, membranous septum; Calc, calcification; DLZ, device-landing zone; LCC, left coronary cusp; NCC, non-coronary cusp; PPMI, permanent pacemaker implantation; RCC, right coronary cusp; AVC, aortic valve calcification