Multiplane transesophageal echocardiographic assessment of mitral regurgitation by Doppler color flow mapping of the vena contracta

Paul A. Grayburn, Wolfgang Fehske, Heyder Omran, M. Elizabeth Brickner, Berndt Lüderitz

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

Assessment of the severity of mitral regurgitation (MR) by Doppler color flow mapping is limited by dependence of jet area on hemodynamic and technical variables. The width of the MR jet at its origin may be less dependent on hemodynamic variables, and thus should more accurately reflect the severity of MR. Doppler color flow mapping was performed in 80 subjects by transesophageal echocardiography (TEE) within 48 hours of catheterization. Width of the MR jet at its vena contracta was measured by both single plane and muttiplane TEE and compared with the angiographic grade of MR and regurgitant volume. The width of the MR jet correlated closely with angiographic grade by both methods. A jet width ≥6 mm identified angiographically severe MR with a sensitivity and specificity of 100% and 83% by single-plane TEE, and 95% and 98% by multiplane TEE. The sensitivity and specificity for detecting a regurgitant volume ≥80 ml was 93% and 76% for single-plane TEE, and 86% and 95% for multiplane TEE. Thus, the width of the MR jet at its vena contracta by Doppler color flow mapping is an accurate marker of the severity of MR. By virtue of its ability to obtain orthogonal views specifically oriented to mitral leaflet coaptation, multiplane TEE is superior to single-plane TEE in assessing MR jet width.

Original languageEnglish (US)
Pages (from-to)912-917
Number of pages6
JournalThe American Journal of Cardiology
Volume74
Issue number9
DOIs
StatePublished - Nov 1 1994

Fingerprint

Mitral Valve Insufficiency
Transesophageal Echocardiography
Color
Hemodynamics
Sensitivity and Specificity
Catheterization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Multiplane transesophageal echocardiographic assessment of mitral regurgitation by Doppler color flow mapping of the vena contracta. / Grayburn, Paul A.; Fehske, Wolfgang; Omran, Heyder; Brickner, M. Elizabeth; Lüderitz, Berndt.

In: The American Journal of Cardiology, Vol. 74, No. 9, 01.11.1994, p. 912-917.

Research output: Contribution to journalArticle

@article{887ccaec97df4971b936928bc93bbe30,
title = "Multiplane transesophageal echocardiographic assessment of mitral regurgitation by Doppler color flow mapping of the vena contracta",
abstract = "Assessment of the severity of mitral regurgitation (MR) by Doppler color flow mapping is limited by dependence of jet area on hemodynamic and technical variables. The width of the MR jet at its origin may be less dependent on hemodynamic variables, and thus should more accurately reflect the severity of MR. Doppler color flow mapping was performed in 80 subjects by transesophageal echocardiography (TEE) within 48 hours of catheterization. Width of the MR jet at its vena contracta was measured by both single plane and muttiplane TEE and compared with the angiographic grade of MR and regurgitant volume. The width of the MR jet correlated closely with angiographic grade by both methods. A jet width ≥6 mm identified angiographically severe MR with a sensitivity and specificity of 100{\%} and 83{\%} by single-plane TEE, and 95{\%} and 98{\%} by multiplane TEE. The sensitivity and specificity for detecting a regurgitant volume ≥80 ml was 93{\%} and 76{\%} for single-plane TEE, and 86{\%} and 95{\%} for multiplane TEE. Thus, the width of the MR jet at its vena contracta by Doppler color flow mapping is an accurate marker of the severity of MR. By virtue of its ability to obtain orthogonal views specifically oriented to mitral leaflet coaptation, multiplane TEE is superior to single-plane TEE in assessing MR jet width.",
author = "Grayburn, {Paul A.} and Wolfgang Fehske and Heyder Omran and Brickner, {M. Elizabeth} and Berndt L{\"u}deritz",
year = "1994",
month = "11",
day = "1",
doi = "10.1016/0002-9149(94)90585-1",
language = "English (US)",
volume = "74",
pages = "912--917",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "9",

}

TY - JOUR

T1 - Multiplane transesophageal echocardiographic assessment of mitral regurgitation by Doppler color flow mapping of the vena contracta

AU - Grayburn, Paul A.

AU - Fehske, Wolfgang

AU - Omran, Heyder

AU - Brickner, M. Elizabeth

AU - Lüderitz, Berndt

PY - 1994/11/1

Y1 - 1994/11/1

N2 - Assessment of the severity of mitral regurgitation (MR) by Doppler color flow mapping is limited by dependence of jet area on hemodynamic and technical variables. The width of the MR jet at its origin may be less dependent on hemodynamic variables, and thus should more accurately reflect the severity of MR. Doppler color flow mapping was performed in 80 subjects by transesophageal echocardiography (TEE) within 48 hours of catheterization. Width of the MR jet at its vena contracta was measured by both single plane and muttiplane TEE and compared with the angiographic grade of MR and regurgitant volume. The width of the MR jet correlated closely with angiographic grade by both methods. A jet width ≥6 mm identified angiographically severe MR with a sensitivity and specificity of 100% and 83% by single-plane TEE, and 95% and 98% by multiplane TEE. The sensitivity and specificity for detecting a regurgitant volume ≥80 ml was 93% and 76% for single-plane TEE, and 86% and 95% for multiplane TEE. Thus, the width of the MR jet at its vena contracta by Doppler color flow mapping is an accurate marker of the severity of MR. By virtue of its ability to obtain orthogonal views specifically oriented to mitral leaflet coaptation, multiplane TEE is superior to single-plane TEE in assessing MR jet width.

AB - Assessment of the severity of mitral regurgitation (MR) by Doppler color flow mapping is limited by dependence of jet area on hemodynamic and technical variables. The width of the MR jet at its origin may be less dependent on hemodynamic variables, and thus should more accurately reflect the severity of MR. Doppler color flow mapping was performed in 80 subjects by transesophageal echocardiography (TEE) within 48 hours of catheterization. Width of the MR jet at its vena contracta was measured by both single plane and muttiplane TEE and compared with the angiographic grade of MR and regurgitant volume. The width of the MR jet correlated closely with angiographic grade by both methods. A jet width ≥6 mm identified angiographically severe MR with a sensitivity and specificity of 100% and 83% by single-plane TEE, and 95% and 98% by multiplane TEE. The sensitivity and specificity for detecting a regurgitant volume ≥80 ml was 93% and 76% for single-plane TEE, and 86% and 95% for multiplane TEE. Thus, the width of the MR jet at its vena contracta by Doppler color flow mapping is an accurate marker of the severity of MR. By virtue of its ability to obtain orthogonal views specifically oriented to mitral leaflet coaptation, multiplane TEE is superior to single-plane TEE in assessing MR jet width.

UR - http://www.scopus.com/inward/record.url?scp=0027997123&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027997123&partnerID=8YFLogxK

U2 - 10.1016/0002-9149(94)90585-1

DO - 10.1016/0002-9149(94)90585-1

M3 - Article

C2 - 7977120

AN - SCOPUS:0027997123

VL - 74

SP - 912

EP - 917

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 9

ER -