Cath Measurement of Stenotic Aortic Valve Area心脏凯斯测量狭窄的主动脉瓣区 53 ppt课件.pptVIP

*Multiple sites for recording transaortic valve gradients *Simultaneous tracings between site 1 and 3 would give the most accurate pressure gradient *Usually use sequential readings (pullback) from 1 to 3, and use simultaneous tracings at 1 + 5 *Assey et al. measured the transaortic valve gradients in 15 patients from eight different combinations of catheter locations. In some patients, the differences in gradient among the different measurement sites were as much as 45 mmHg. May then obtain mean pressure gradient across aortic valve