Clinically significant incidental noncardiac findings on preprocedural computed tomography in patients with aortic stenosis undergoing aortic-valve replacement.
J Cardiol
; 84(5): 326-332, 2024 Nov.
Article
en En
| MEDLINE
| ID: mdl-38754762
ABSTRACT
BACKGROUND:
There is a scarcity of data on the prevalence of abnormal findings on preprocedural computed tomography (CT) before aortic valve replacement (AVR) in patients with aortic stenosis (AS).METHODS:
Among consecutive 593 patients with severe AS who were planned to undergo AVR, we evaluated the prevalence of clinically significant incidental noncardiac findings on preprocedural CT. Clinically significant incidental noncardiac findings were defined as newly detected abnormalities that required therapy, consultation for expert, further investigation, or clinical follow-up.RESULTS:
The mean age was 82.0â¯years and 39.5â¯% of the patients were men. Of those, 78.4â¯% of the patients were treated with transcatheter aortic valve implantation (TAVI) and 21.6â¯% of the patients were treated with surgical AVR (SAVR). There were 271 clinically significant incidental noncardiac findings in 227 patients (38.3â¯%) including 2.5â¯% of malignancy. The prevalence of clinically significant incidental noncardiac findings were higher in the TAVI group than in the SAVR group (40.2â¯% versus 31.3â¯%). The prevalence of clinically significant incidental noncardiac findings were lower in patients under 60â¯years of age (10.0â¯%) than in patients over 60â¯years of age (60-69â¯years 40.0â¯%, 70-79â¯years 34.3â¯%, 80-89â¯years 39.7â¯%, and ≥90â¯years 42.1â¯%).CONCLUSIONS:
Clinically significant incidental noncardiac findings were newly identified on preprocedural CT in approximately 40â¯% of patients with severe AS undergoing AVR including 2.5â¯% of malignancy.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Estenosis de la Válvula Aórtica
/
Tomografía Computarizada por Rayos X
/
Hallazgos Incidentales
/
Reemplazo de la Válvula Aórtica Transcatéter
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Japón