Surgical and transcatheter pulmonary valve replacement in patients with repaired tetralogy of Fallot: Cardiac magnetic resonance imaging characteristics and morphology of right ventricular outflow tract

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dc.authorid0000-0002-1766-2778
dc.contributor.authorÖzkök, Serçin
dc.contributor.authorÇiftçi, Hatice Özge
dc.contributor.authorKöse, Kevser Banu
dc.contributor.authorYücel, İlker Kemal
dc.contributor.authorŞaşmazel, Ahmet
dc.contributor.authorÇelebi, Ahmet
dc.contributor.authorPekkan, Kerem
dc.date.accessioned2024-02-01T13:04:10Z
dc.date.available2024-02-01T13:04:10Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Mühendislik ve Doğa Bilimleri Fakültesi, Biyomedikal Mühendisliği Bölümü
dc.description.abstractBackgroundPulmonary valve replacement is recommended in patients with repaired tetralogy of Fallot based on cardiac magnetic resonance imaging (MRI) criteria. This procedure is performed by surgical or transcatheter approaches.ObjectiveWe aimed to investigate the differences in preprocedural MRI characteristics (volume, function, strain) and morphology of the right ventricular outflow tract and branch pulmonary arteries in patients for whom surgical or transcatheter pulmonary valve replacement was planned.Materials and methodsCardiac MRI of 166 patients with tetralogy of Fallot were analyzed. Of these, 36 patients for whom pulmonary valve replacement was planned were included. Magnetic resonance imaging characteristics, right ventricular outflow tract morphology, branch pulmonary artery flow distribution and diameter were compared between surgical and transcatheter groups. Spearman correlation and Kruskal-Wallis tests were performed.ResultsCircumferential and radial MRI strain for the right ventricle were lower in the surgical group (P=0.045 and P=0.046, respectively). The diameter of the left pulmonary artery was significantly lower (P=0.021) and branch pulmonary artery flow and diameter ratio were higher (P=0.044 and P = 0.002, respectively) in the transcatheter group. There was a significant correlation between right ventricular outflow tract morphology and right ventricular end-diastolic volume index and global circumferential and radial MRI strain (P=0.046, P=0.046 and P= 0.049, respectively).ConclusionPreprocedural MRI strain, right-to-left pulmonary artery flow, diameter ratio and morphological features of the right ventricular outflow tract were significantly different between the two groups. A transcatheter approach may be recommended for patients with branch pulmonary artery stenosis, since both pulmonary valve replacement and branch pulmonary artery stenting can be performed in the same session.
dc.identifier.citationÖzkök, S., Çiftçi, H. Ö., Köse, K. B., Yücel, İ. K., Şaşmazel, A., Çelebi, A. ... Pekkan, K. (2023). Surgical and transcatheter pulmonary valve replacement in patients with repaired tetralogy of Fallot: Cardiac magnetic resonance imaging characteristics and morphology of right ventricular outflow tract. Pediatric Radiology, 53(9), 1863-1873. https://dx.doi.org/10.1007/s00247-023-05645-2
dc.identifier.doi10.1007/s00247-023-05645-2
dc.identifier.endpage1873
dc.identifier.issn0301-0449
dc.identifier.issn1432-1998
dc.identifier.issue9
dc.identifier.pmid37010546
dc.identifier.scopus2-s2.0-85151533991
dc.identifier.scopusqualityQ2
dc.identifier.startpage1863
dc.identifier.urihttps://dx.doi.org/10.1007/s00247-023-05645-2
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12237
dc.identifier.volume53
dc.identifier.wos000963891900002en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKöse, Kevser Banu
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofPediatric Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAdolescents
dc.subjectAdults
dc.subjectChildren
dc.subjectCongenital Heart Disease
dc.subjectHeart
dc.subjectMagnetic Resonance Imaging
dc.subjectPulmonary Valve Replacement
dc.subjectStrain Imaging
dc.subjectTetralogy of Fallot
dc.titleSurgical and transcatheter pulmonary valve replacement in patients with repaired tetralogy of Fallot: Cardiac magnetic resonance imaging characteristics and morphology of right ventricular outflow tract
dc.typeArticle

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