Prognostic Value of Advanced Echocardiographic Analysis for Transcatheter Aortic Valve Replacement: A Systematic Review

Echocardiography. 2025 Jan;42(1):e70063. doi: 10.1111/echo.70063.

Abstract

Transcatheter aortic valve implantation (TAVI) is the main treatment option for patients with severe aortic stenosis (AS) and older age. Improved imaging techniques have enabled better patient selection, and the main role is played by echocardiography. Methods more sensitive than LVEF in assessing cardiac function, such as global longitudinal strain (GLS) and myocardial work (MW), have become widespread, and other methods, like hemodynamic forces (HDFs), might be promising. The aim of this paper is to systematically review the parameters of GLS, MW, and HDF as predictors of reverse remodeling and their association with outcomes in patients with AS undergoing TAVI. In particular, the focus will be on the examination of the influence of TAVI on left atrial and ventricular function and right ventricular function.

Keywords: global longitudinal strain; hemodynamic forces; myocardial work (MW); speckle tracking echocardiography (STE); transcatheter aortic valve implantation (TAVI).

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Aortic Valve Stenosis* / physiopathology
  • Aortic Valve Stenosis* / surgery
  • Echocardiography* / methods
  • Humans
  • Prognosis
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Transcatheter Aortic Valve Replacement* / methods
  • Treatment Outcome