Congress:
ECR25
Poster Number:
C-14426
Type:
Poster: EPOS Radiologist (educational)
DOI:
10.26044/ecr2025/C-14426
Authorblock:
S. García Florez, X. Olasagasti Sampedro, I. Redero Sanchón, E. M. Hijosa, M. Urrecho Colino, J. A. Padilla Prada, K. Zabala Antxia; Bilbao/ES
Disclosures:
Sally García Florez:
Nothing to disclose
Xabier Olasagasti Sampedro:
Nothing to disclose
Isabel Redero Sanchón:
Nothing to disclose
Eneritz Montes Hijosa:
Nothing to disclose
Maria Urrecho Colino:
Nothing to disclose
Jose Alberto Padilla Prada:
Nothing to disclose
Klara Zabala Antxia:
Nothing to disclose
Keywords:
Cardiac, CT, Complications, Image verification
Intervention and Demographics:
- Out of 101 patients, 80 (79.21%) underwent TAVI, with an average age of 81.2 years—significantly lower than the average age (83.8 years) of the nonâTAVI group.
- Although gender was not significantly associated with the decision to perform TAVI, a negative association was observed with age, indicating that younger patients were more likely to be treated with TAVI.
Prosthesis Selection and CT Findings:
- PreâTAVI CT measurements enabled precise determination of the native valve dimensions, facilitating optimal prosthesis sizing.
- The strong correlation between CTâmeasured diameters and the implanted prosthesis size (p = 5.48×10⻹âµ) underscores the critical role of CT in procedural planning.
- The most frequently implanted prosthesis sizes were 26 mm (37.5%), followed by 23 mm (25%) and 29 mm (17.5%).
- Edwards Sapien was the most commonly used model (62.5%), with CoreValve Evolut accounting for 18.8% of the cases.
Complications and Mortality:
- During hospitalization, 46.25% of patients experienced at least one complication.
- The most common complications were conduction abnormalities (35%), which in some cases necessitated pacemaker implantation, and paravalvular leaks (29%). Other complications included vascular access injuries, prosthesis placement failures, strokes, and coronary obstructions.
- The overall mortality during followâup was 17.5%, with 35.7% of these deaths directly attributable to TAVIârelated complications. Additional analyses indicated that male gender (p = 0.0189) and prosthesis placement failure (p = 0.0297) were significantly associated with increased mortality risk.