Overview
Postprocedural aortic valve regurgitation (AR) is a complication that can occur after aortic valve interventions. The severity and management of AR depend on the underlying cause and patient factors.Diagnosis
Grading of AR is typically performed using echocardiography, assessing parameters such as jet area, vena contracta width, and pressure half-time 1.Management
Management strategies for postprocedural AR are guided by the severity of regurgitation and the patient's clinical status.Key Recommendations
Estimated plasma volume status (ePVS) may be used to refine risk stratification and candidate selection for transcatheter aortic valve implantation (TAVI) 1.
High ePVS is associated with an increased risk of 1-year all-cause mortality in patients undergoing TAVI 1.
High ePVS is associated with increased unadjusted odds for 30-day mortality, peri-procedural stroke, major bleeding, and acute kidney injury in TAVI patients 1.
The unadjusted risk of pacemaker implantation and major vascular complications did not differ significantly between high and low ePVS groups in TAVI patients 1.References
1 Papazoglou AS, Moysidis DV, Anastasiou V, Daios S, Kamperidis V, Ziakas A et al.. Prognostic relevance of pre-procedural plasma volume status estimation in patients undergoing transcatheter aortic valve implantation: A meta-analysis. Current problems in cardiology 2024. link