Right ventricular function assessment following transcatheter aortic valve implantation/replacement (TAVI/TAVR): a systematic review and meta-analysis comparing speckle tracking and conventional echocardiographic approaches

Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561–632.

Article  PubMed  Google Scholar 

Vavilis G, Bäck M, Bárány P, Szummer K. Epidemiology of aortic stenosis/aortic valve replacement (from the nationwide Swedish renal registry). Am J Cardiol. 2022;163:58–64.

Article  PubMed  Google Scholar 

Maayan K, Simon B, Yan T, Yigal A, Ofer H, Eyal B-A, et al. Predictors of improvement in diastolic function after transcatheter aortic valve implantation. J Echocardiogr. 2014;12(1):17–23.

Article  PubMed  Google Scholar 

Meredith T, Brown L, Mohammed F, Pomeroy A, Roy D, Muller DWM, et al. The influence of transcatheter aortic valve replacement on left atrial mechanics: a systematic review and meta-analysis. Eur Heart J. 2024;2(2):qyae026.

Google Scholar 

Angellotti D, Manzo R, Castiello DS, Immobile Molaro M, Mariani A, Iapicca C, et al. Echocardiographic evaluation after transcatheter aortic valve implantation: a comprehensive review. Life. 2023;13(5):1079. https://doi.org/10.3390/life13051079.

Article  PubMed  PubMed Central  Google Scholar 

Généreux P, Pibarot P, Redfors B, Mack MJ, Makkar RR, Jaber WA, et al. Staging classification of aortic stenosis based on the extent of cardiac damage. Eur Heart J. 2017;38(45):3351–8.

Article  PubMed  PubMed Central  Google Scholar 

Cavalcante JL, Rijal S, Althouse AD, Delgado-Montero A, Katz WE, Schindler JT, et al. Right ventricular function and prognosis in patients with low-flow, low-gradient severe aortic stenosis. J Am Soc Echocardiogr. 2016;29(4):325–33.

Article  PubMed  Google Scholar 

Van Klarenbosch B, Driessen H, Kirkels F, Cramer M, Velthuis B, Vos M, et al. Global, segmental, and layer-specific two-dimensional speckle tracking echocardiography immediately after acute myocardial infarction as a predictive tool to assess myocardial viability and scar size. J Echocardiogr. 2025;23(2):109–22.

Article  PubMed  Google Scholar 

Farsalinos KE, Daraban AM, Ünlü S, Thomas JD, Badano LP, Voigt J-U. Head-to-head comparison of global longitudinal strain measurements among nine different vendors: the EACVI/ASE inter-vendor comparison study. J Am Soc Echocardiogr. 2015;28(10):1171-81. e2.

Article  PubMed  Google Scholar 

Blessberger H, Bergler-Klein J, Graf S, Syeda B, Wagner H, Kammler J, et al. Speckle tracking-derived longitudinal strain: validation and influence of scanner settings. Ultrasound Med Biol. 2021;47(1):154–62.

Article  PubMed  Google Scholar 

Lee C-Y, Nabeshima Y, Kitano T, Parasca CA, Calin A, Popescu BA, et al. Prognostic value of right ventricular free-wall longitudinal strain in aortic stenosis: a systematic review and meta-analysis. J Cardiol. 2024;84(2):80–5.

Article  PubMed  Google Scholar 

Sarrazyn C, Galloo X, Meucci MC, Butcher SC, Hirsawa K, Myagmardorj R, et al. Incremental value of biventricular strain in patients with severe aortic stenosis. J Cardiovasc Dev Dis. 2024;11(3):90.

PubMed  PubMed Central  Google Scholar 

Treibel TA, Kozor R, Schofield R, Benedetti G, Fontana M, Bhuva AN, et al. Reverse myocardial remodeling following valve replacement in patients with aortic stenosis. J Am Coll Cardiol. 2018;71(8):860–71.

Article  PubMed  PubMed Central  Google Scholar 

Kislitsina ON, Kane B, Andrei A-C, Thomas J, Kruse J, Churyla A. Subclinical changes in left and right ventricular strain as determined by speckle-tracking echocardiographic analysis after transcatheter or surgical aortic-valve replacement. J Am Coll Cardiol. 2021;77(18Supplement1):1178.

Article  Google Scholar 

Asami M, Stortecky S, Praz F, Lanz J, Räber L, Franzone A, et al. Prognostic value of right ventricular dysfunction on clinical outcomes after transcatheter aortic valve replacement. JACC Cardiovasc Imaging. 2019;12(4):577–87.

Article  PubMed  Google Scholar 

Cochrane. Handbook for Systematic Reviews of Interventions version 6.5 (updated August 2024). Cochrane2024.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. ed: Routledge; 1988.

Google Scholar 

NIH N. Study quality assessment tools. National Heart Lung, and Blood Institute NHLBI[Google Scholar]. 2021.

Wan X, Wang W, Liu J, Tong T. Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol. 2014;14(1):135.

Article  PubMed  PubMed Central  Google Scholar 

Lindman BR, Stewart WJ, Pibarot P, Hahn RT, Otto CM, Xu K, et al. Early regression of severe left ventricular hypertrophy after transcatheter aortic valve replacement is associated with decreased hospitalizations. JACC Cardiovasc Interv. 2014;7(6):662–73.

Article  PubMed  PubMed Central  Google Scholar 

Sousa Nunes F, Amaral Marques C, Isabel Pinho A, Sousa-Pinto B, Beco A, Ricardo Silva J et al. Reverse left ventricular remodeling after aortic valve replacement for aortic stenosis: a systematic review and meta-analysis. Front Cardiovasc Med. 2024;11:1407566.

Tobe A, Tanaka A, Tokuda Y, Akita S, Fujii T, Miki Y et al. Regression of Electrocardiographic Left Ventricular Hypertrophy After Transcatheter Aortic Valve Implantation for Aortic Stenosis. Circulation Journal. 2021;advpub.

Omran H, Polimeni A, Brandt V, Rudolph V, Rudolph TK, Bleiziffer S, et al. Pre-procedural right ventricular longitudinal strain and post-procedural tricuspid regurgitation predict mortality in patients undergoing transcatheter aortic valve implantation (Tavi). J Clin Med. 2021;10(24):5877. https://doi.org/10.3390/jcm10245877.

Article  PubMed  PubMed Central  Google Scholar 

Medvedofsky D, Koifman E, Miyoshi T, Rogers T, Wang Z, Goldstein SA, et al. Usefulness of longitudinal strain to assess remodeling of right and left cardiac chambers following transcatheter aortic valve implantation. Am J Cardiol. 2019;124(2):253–61.

Article  PubMed  Google Scholar 

Kislitsina O, Kane B, Andrei A-C, Thomas J, Kruse J, Churyla A, et al. Subclinical changes in left and right ventricular strain as determined by speckle-tracking echocardiographic analysis after transcatheter or surgical aortic-valve replacement. J Am Coll Cardiol. 2021;77:1178.

Article  Google Scholar 

Parasca CA, Calin A, Cadil D, Mateescu A, Rosca M, Botezatu SB, et al. Right ventricle to pulmonary artery coupling after transcatheter aortic valve implantation-determinant factors and prognostic impact. Front Cardiovasc Med. 2023;10:1150039.

Article  PubMed  PubMed Central  Google Scholar 

Pardo Sanz A, Santoro C, Hinojar R, Salido L, Rajjoub EA, Monteagudo JM, et al. Right ventricle assessment in patients with severe aortic stenosis undergoing transcatheter aortic valve implantation. Echocardiography. 2020;37(4):586–91.

Article  PubMed  Google Scholar 

Schueler R, Öztürk C, Laser JV, Wirth F, Werner N, Welz A, et al. Right ventricular assessment in patients undergoing transcatheter or surgical aortic valve replacement. Catheter Cardiovasc Interv. 2020;96(7):E711-22.

PubMed  Google Scholar 

Roslan A, Sin TY, Aris FA, Ashari A, Shaparudin AA, Shah WFWR, et al. Left ventricle geometry, atrial strain, ventricle strain, and hemodynamics across aortic valve before and after transcatheter aortic valve replacements. Med J Malaysia. 2022;77(6):736–42.

PubMed  Google Scholar 

Kempny A, Diller GP, Kaleschke G, Orwat S, Funke A, Schmidt R, et al. Impact of transcatheter aortic valve implantation or surgical aortic valve replacement on right ventricular function. Heart. 2012;98(17):1299–304.

Article  PubMed  Google Scholar 

Reskovic Luksic V, Postolache A, Martinez C, Dulgheru R, Ilardi F, Tridetti J, et al. Global and regional myocardial function and outcomes after transcatheter aortic valve implantation for aortic stenosis and preserved ejection fraction. J Cardiovasc Med. 2020;21(3):238–45.

Article  Google Scholar 

Lillo R, Graziani F, Ingrasciotta G, Przbybylek B, Iannaccone G, Locorotondo G, et al. Right ventricle systolic function and right ventricle-pulmonary artery coupling in patients with severe aortic stenosis and the early impact of TAVI. Int J Cardiovasc Imaging. 2022;38(8):1761–70.

Article  PubMed  Google Scholar 

Dadarlat-Pop A, Molnar A, Serban A, Tomoaia R, Hagiu C, Manole S, et al. Prognostic value of myocardial function imaging markers in elderly patients undergoing transcatheter aortic valve replacement. Clin Interventions Aging. 2023;18:1597–606.

Article  Google Scholar 

Puentes M, Mesa D, Ruiz Ortiz M, Delgado M, Mazuelos F, De Suárez J. Changes in right ventricular systolic function after transcatheter aortic valve implantation assessed by two-dimensional speckle tracking echocardiography. Rev Esp Cardiol. 2012;65(10):964–5.

Article  PubMed  Google Scholar 

Morita Y, Kariya T, Dougherty M, Peters A, Ruggiero N. Potential of right ventricular function assessment with echocardiography in transcatheter aortic valve replacement. J Cardiothorac Surg. 2024;19(1):686.

Article  PubMed  PubMed Central  Google Scholar 

Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: executive summary: A report of the American college of Cardiology/American heart association joint committee on clinical practice guidelines. Circulation. 2021;143(5):e35–71.

PubMed  Google Scholar 

Poliacikova P, Cockburn J, Pareek N, James R, Lee L, Trivedi U, et al. Prognostic impact of pre-existing right ventricular dysfunction on the outcome of transcatheter aortic valve implantation. J Invasive Cardiol. 2013;25(3):142–5.

PubMed  Google Scholar 

Winkler NE, Anwer S, Reeve KA, Michel JM, Kasel AM, Tanner FC. Right vs. left ventricular longitudinal strain for mortality prediction after transcatheter aortic valve implantation. Front Cardiovasc Med. 2023;10:1252872.

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