Incidental findings in multislice computed tomography prior to transcatheter aortic valve implantation: frequency,clinical relevance and outcome |
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| Authors: | Teresa Trenkwalder Anna Lena Lahmann Magdalena Nowicka Costanza Pellegrini Tobias Rheude N. Patrick Mayr Stephanie Voss Sabine Bleiziffer Rüdiger Lange Michael Joner Albert M. Kasel Adnan Kastrati Heribert Schunkert Oliver Husser Martin Hadamitzky Christian Hengstenberg |
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| Affiliation: | 1.Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München,Technische Universit?t München,Munich,Germany;2.Institut für Radiologie und Nuklearmedizin, Deutsches Herzzentrum München,Technische Universit?t München,Munich,Germany;3.Institut für An?sthesiologie, Deutsches Herzzentrum München,Technische Universit?t München,Munich,Germany;4.Klinik für Herz- und Gef??chirurgie, Deutsches Herzzentrum München,Technische Universit?t München,Munich,Germany;5.Deutsches Zentrum für Herz- und Kreislauf-Forschung (DZHK) e.V. (German Center for Cardiovascular Research),Partner Site Munich Heart Alliance,Munich,Germany;6.Klinische Abteilung für Kardiologie,Universit?tsklinik für Innere Medizin II, Medizinische Universit?t Wien,Wien,Austria |
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| Abstract: | Multislice computed tomography (MSCT) has emerged as the mainstay in patients planned for transcatheter aortic valve implantation (TAVI). Incidental findings (IF) in MSCT are common. However, the exact incidence, clinical relevance and further consequences of IF are unclear and it is controversial whether IF adversely affect patients’ outcome. We analyzed MSCT data of 1050 patients screened for TAVI between January 2011 and December 2014. Median follow-up of patients was 20 months. In total, 3194 IF were identified, which were classified into clinically non-relevant IF (2872, 90%) and clinically relevant IF (322, 10%). In 25% of patients (258/1050) at least one clinically relevant IF was present. Age (80?±?7 vs. 80?±?7 years; p?=?0.198) and EuroSCORE II (3.6% [2.1–5.7] vs. 3.6% [2.1–5.9]; p?=?0.874) was similar between patients with and without a clinically relevant IF. TAVI was performed less frequently in patients with a clinically relevant IF (76% vs. 85%; p?
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