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Effective Orifice Area

MedGen UID:
1639979
•Concept ID:
C4687741
•
Finding

Definition

The minimal cross-sectional area of the flow jet downstream of a cardiac valve. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEffective Orifice Area

Professional guidelines

PubMed

Matched Comparison of Self-Expanding Transcatheter Heart Valves for the Treatment of Failed Aortic Surgical Bioprosthesis: Insights From the Valve-in-Valve International Data Registry (VIVID).
Alnasser S, Cheema AN, Simonato M, Barbanti M, Edwards J, Kornowski R, Horlick E, Wijeysundera HC, Testa L, Bedogni F, Amrane H, Walther T, Pelletier M, Latib A, Laborde JC, Hildick-Smith D, Kim WK, Tchetche D, Agrifoglio M, Sinning JM, van Boven AJ, Kefer J, Frerker C, van Mieghem NM, Linke A, Worthley S, Asgar A, Sgroi C, Aziz M, Danenberg HD, Labinaz M, Manoharan G, Cheung A, Webb JG, Dvir D; Valve-in-Valve International Data Registry Investigators
Circ Cardiovasc Interv 2017 Apr;10(4) doi: 10.1161/CIRCINTERVENTIONS.116.004392. PMID: 28400461
Prospective Multicenter Evaluation of the Direct Flow Medical Transcatheter Aortic Valve System: 12-Month Outcomes of the Evaluation of the Direct Flow Medical Percutaneous Aortic Valve 18F System for the Treatment of Patients With Severe Aortic Stenosis (DISCOVER) Study.
Lefèvre T, Colombo A, Tchétché D, Latib A, Klugmann S, Fajadet J, De Marco F, Maisano F, Bruschi G, Bijuklic K, Nava S, Weissman N, Low R, Thomas M, Young C, Redwood S, Mullen M, Yap J, Grube E, Nickenig G, Sinning JM, Hauptmann KE, Friedrich I, Lauterbach M, Schmoeckel M, Davidson C, Schofer J
JACC Cardiovasc Interv 2016 Jan 11;9(1):68-75. doi: 10.1016/j.jcin.2015.09.027. PMID: 26762913
Dynamic mitral regurgitation: review of evidence base, assessment and implications for clinical management.
Bhattacharyya S, Khattar R, Chahal N, Senior R
Cardiol Rev 2015 May-Jun;23(3):142-7. doi: 10.1097/CRD.0000000000000037. PMID: 25098202

Recent clinical studies

Etiology

Prosthesis-patient mismatch after transcatheter aortic valve implantation.
Miyasaka M, Tada N; OCEAN-SHD family
Cardiovasc Interv Ther 2022 Oct;37(4):615-625. Epub 2022 Jun 16 doi: 10.1007/s12928-022-00865-z. PMID: 35708855
Why the categorization of indexed effective orifice area is not justified for the classification of prosthesis-patient mismatch.
Vriesendorp MD, Deeb GM, Reardon MJ, Kiaii B, Bapat V, Labrousse L, Rao V, Sabik JF 3rd, Gearhart E, Klautz RJM
J Thorac Cardiovasc Surg 2022 Sep;164(3):822-829.e6. Epub 2020 Nov 12 doi: 10.1016/j.jtcvs.2020.10.123. PMID: 33339597
Patient-prosthesis mismatch following aortic valve replacement.
Bilkhu R, Jahangiri M, Otto CM
Heart 2019 Mar;105(Suppl 2):s28-s33. doi: 10.1136/heartjnl-2018-313515. PMID: 30846522
Indexed effective orifice area is a significant predictor of higher mid- and long-term mortality rates following aortic valve replacement in patients with prosthesis-patient mismatch.
Chen J, Lin Y, Kang B, Wang Z
Eur J Cardiothorac Surg 2014 Feb;45(2):234-40. Epub 2013 May 16 doi: 10.1093/ejcts/ezt245. PMID: 23682010
Aortic stenosis.
Chambers JB
Eur J Echocardiogr 2009 Jan;10(1):i11-9. doi: 10.1093/ejechocard/jen240. PMID: 19131494

Diagnosis

Imaging for Predicting and Assessing Prosthesis-Patient Mismatch After Aortic Valve Replacement.
Pibarot P, Magne J, Leipsic J, Côté N, Blanke P, Thourani VH, Hahn R
JACC Cardiovasc Imaging 2019 Jan;12(1):149-162. doi: 10.1016/j.jcmg.2018.10.020. PMID: 30621987
Comprehensive Echocardiographic Assessment of Normal Transcatheter Valve Function.
Hahn RT, Leipsic J, Douglas PS, Jaber WA, Weissman NJ, Pibarot P, Blanke P, Oh JK
JACC Cardiovasc Imaging 2019 Jan;12(1):25-34. Epub 2018 Jun 13 doi: 10.1016/j.jcmg.2018.04.010. PMID: 29909110
Indexed effective orifice area is a significant predictor of higher mid- and long-term mortality rates following aortic valve replacement in patients with prosthesis-patient mismatch.
Chen J, Lin Y, Kang B, Wang Z
Eur J Cardiothorac Surg 2014 Feb;45(2):234-40. Epub 2013 May 16 doi: 10.1093/ejcts/ezt245. PMID: 23682010
Prosthesis-patient mismatch: an update.
Dumesnil JG, Pibarot P
Curr Cardiol Rep 2011 Jun;13(3):250-7. doi: 10.1007/s11886-011-0172-7. PMID: 21350829
Aortic stenosis.
Chambers JB
Eur J Echocardiogr 2009 Jan;10(1):i11-9. doi: 10.1093/ejechocard/jen240. PMID: 19131494

Therapy

Five-year Outcomes of the COMMENCE Trial Investigating Aortic Valve Replacement With RESILIA Tissue.
Bavaria JE, Griffith B, Heimansohn DA, Rozanski J, Johnston DR, Bartus K, Girardi LN, Beaver T, Takayama H, Mumtaz MA, Rosengart TK, Starnes V, Timek TA, Boateng P, Ryan W, Cornwell LD, Blackstone EH, Borger MA, Pibarot P, Thourani VH, Svensson LG, Puskas JD; COMMENCE Trial Investigators
Ann Thorac Surg 2023 Jun;115(6):1429-1436. Epub 2022 Jan 20 doi: 10.1016/j.athoracsur.2021.12.058. PMID: 35065065
Prosthesis-patient mismatch after transcatheter aortic valve implantation.
Miyasaka M, Tada N; OCEAN-SHD family
Cardiovasc Interv Ther 2022 Oct;37(4):615-625. Epub 2022 Jun 16 doi: 10.1007/s12928-022-00865-z. PMID: 35708855
Patient-prosthesis mismatch following aortic valve replacement.
Bilkhu R, Jahangiri M, Otto CM
Heart 2019 Mar;105(Suppl 2):s28-s33. doi: 10.1136/heartjnl-2018-313515. PMID: 30846522
Imaging for Predicting and Assessing Prosthesis-Patient Mismatch After Aortic Valve Replacement.
Pibarot P, Magne J, Leipsic J, Côté N, Blanke P, Thourani VH, Hahn R
JACC Cardiovasc Imaging 2019 Jan;12(1):149-162. doi: 10.1016/j.jcmg.2018.10.020. PMID: 30621987
Comprehensive Echocardiographic Assessment of Normal Transcatheter Valve Function.
Hahn RT, Leipsic J, Douglas PS, Jaber WA, Weissman NJ, Pibarot P, Blanke P, Oh JK
JACC Cardiovasc Imaging 2019 Jan;12(1):25-34. Epub 2018 Jun 13 doi: 10.1016/j.jcmg.2018.04.010. PMID: 29909110

Prognosis

Prosthesis-patient mismatch after transcatheter aortic valve implantation.
Miyasaka M, Tada N; OCEAN-SHD family
Cardiovasc Interv Ther 2022 Oct;37(4):615-625. Epub 2022 Jun 16 doi: 10.1007/s12928-022-00865-z. PMID: 35708855
Patient-prosthesis mismatch following aortic valve replacement.
Bilkhu R, Jahangiri M, Otto CM
Heart 2019 Mar;105(Suppl 2):s28-s33. doi: 10.1136/heartjnl-2018-313515. PMID: 30846522
Imaging for Predicting and Assessing Prosthesis-Patient Mismatch After Aortic Valve Replacement.
Pibarot P, Magne J, Leipsic J, Côté N, Blanke P, Thourani VH, Hahn R
JACC Cardiovasc Imaging 2019 Jan;12(1):149-162. doi: 10.1016/j.jcmg.2018.10.020. PMID: 30621987
Comprehensive Echocardiographic Assessment of Normal Transcatheter Valve Function.
Hahn RT, Leipsic J, Douglas PS, Jaber WA, Weissman NJ, Pibarot P, Blanke P, Oh JK
JACC Cardiovasc Imaging 2019 Jan;12(1):25-34. Epub 2018 Jun 13 doi: 10.1016/j.jcmg.2018.04.010. PMID: 29909110
Aortic stenosis.
Chambers JB
Eur J Echocardiogr 2009 Jan;10(1):i11-9. doi: 10.1093/ejechocard/jen240. PMID: 19131494

Clinical prediction guides

Five-year Outcomes of the COMMENCE Trial Investigating Aortic Valve Replacement With RESILIA Tissue.
Bavaria JE, Griffith B, Heimansohn DA, Rozanski J, Johnston DR, Bartus K, Girardi LN, Beaver T, Takayama H, Mumtaz MA, Rosengart TK, Starnes V, Timek TA, Boateng P, Ryan W, Cornwell LD, Blackstone EH, Borger MA, Pibarot P, Thourani VH, Svensson LG, Puskas JD; COMMENCE Trial Investigators
Ann Thorac Surg 2023 Jun;115(6):1429-1436. Epub 2022 Jan 20 doi: 10.1016/j.athoracsur.2021.12.058. PMID: 35065065
Prosthesis-patient mismatch after transcatheter aortic valve implantation.
Miyasaka M, Tada N; OCEAN-SHD family
Cardiovasc Interv Ther 2022 Oct;37(4):615-625. Epub 2022 Jun 16 doi: 10.1007/s12928-022-00865-z. PMID: 35708855
Patient-prosthesis mismatch following aortic valve replacement.
Bilkhu R, Jahangiri M, Otto CM
Heart 2019 Mar;105(Suppl 2):s28-s33. doi: 10.1136/heartjnl-2018-313515. PMID: 30846522
Imaging for Predicting and Assessing Prosthesis-Patient Mismatch After Aortic Valve Replacement.
Pibarot P, Magne J, Leipsic J, Côté N, Blanke P, Thourani VH, Hahn R
JACC Cardiovasc Imaging 2019 Jan;12(1):149-162. doi: 10.1016/j.jcmg.2018.10.020. PMID: 30621987
Comprehensive Echocardiographic Assessment of Normal Transcatheter Valve Function.
Hahn RT, Leipsic J, Douglas PS, Jaber WA, Weissman NJ, Pibarot P, Blanke P, Oh JK
JACC Cardiovasc Imaging 2019 Jan;12(1):25-34. Epub 2018 Jun 13 doi: 10.1016/j.jcmg.2018.04.010. PMID: 29909110

Recent systematic reviews

Outcomes of Ozaki Procedure/Aortic Valve Neocuspidization for Aortic Valve Diseases: A Systematic Review.
Badalyan SS, Markosyan SV, Ismailbaev AM, Asghar A, Ur Rehman A
Anatol J Cardiol 2023 Nov;27(11):619-627. doi: 10.14744/AnatolJCardiol.2023.3477. PMID: 37909351Free PMC Article
Perceval valve intermediate outcomes: a systematic review and meta-analysis at 5-year follow-up.
Jolliffe J, Moten S, Tripathy A, Skillington P, Tatoulis J, Muneretto C, Di Bacco L, Galvao HBF, Goldblatt J
J Cardiothorac Surg 2023 Apr 11;18(1):129. doi: 10.1186/s13019-023-02273-7. PMID: 37041628Free PMC Article
Limitations in the Assessment of Prosthesis-Patient Mismatch.
Amorim PA, Diab M, Walther M, Färber G, Hagendorff A, Bonow RO, Doenst T
Thorac Cardiovasc Surg 2020 Oct;68(7):550-556. Epub 2019 Jan 4 doi: 10.1055/s-0038-1676814. PMID: 30609446
A systematic review on the safety of second-generation transcatheter aortic valves.
Athappan G, Gajulapalli RD, Tuzcu ME, Svensson LG, Kapadia SR
EuroIntervention 2016 Jan 22;11(9):1034-43. doi: 10.4244/EIJV11I9A211. PMID: 26788706
Comparison of the early haemodynamics of stented pericardial and porcine aortic valves.
Sharma V, Deo SV, Altarabsheh SE, Cho YH, Erwin PJ, Park SJ
Eur J Cardiothorac Surg 2015 Jan;47(1):4-10. Epub 2014 Aug 14 doi: 10.1093/ejcts/ezu272. PMID: 25123674

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