Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?

Ascending aorta diameters have important clinical value in the diagnosis, follow-up, and surgical indication of many aortic diseases. However, there is no uniformity among experts regarding ascending aorta diameter quantification by echocardiography. The aim of this study was to compare maximum aort...

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Autores principales:	Maria Luz Servato, Gisela Teixidó-Turá, Anna Sabate-Rotes, Laura Galian-Gay, Laura Gutiérrez, Filipa Valente, Ruben Fernandez-Galera, Guillem Casas, Angela López-Sainz, M. Teresa González-Alujas, Augusto Sao-Aviles, Ignacio Ferreira, Jose Rodríguez-Palomares, Arturo Evangelista
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	aorta aortic dimensions echocardiography guideline’s recommendations Medicine R
Acceso en línea:	https://doaj.org/article/c3fe74ff77fc44b397719d064a2bae3d
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spelling	oai:doaj.org-article:c3fe74ff77fc44b397719d064a2bae3d2021-11-25T18:01:26ZAre Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?10.3390/jcm102252902077-0383https://doaj.org/article/c3fe74ff77fc44b397719d064a2bae3d2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5290https://doaj.org/toc/2077-0383Ascending aorta diameters have important clinical value in the diagnosis, follow-up, and surgical indication of many aortic diseases. However, there is no uniformity among experts regarding ascending aorta diameter quantification by echocardiography. The aim of this study was to compare maximum aortic root and ascending aorta diameters determined by the diastolic leading edge (DLE) and the systolic inner edge (SIE) conventions in adult and pediatric patients with inherited cardiovascular diseases. Transthoracic echocardiograms were performed in 328 consecutive patients (260 adults and 68 children). Aorta diameters were measured twice at the root and ascending aorta by the DLE convention following the 2015 American Society of Echocardiography (ASE) adult guidelines and the SIE convention following the 2010 ASE pediatric guidelines. Comparison of the diameters measured by the two conventions in the overall population showed a non-significant underestimation of the diameter measured by the SIE convention at root level of 0.28 mm (CI −1.36; 1.93) and at tubular ascending aorta level of 0.17 mm (CI −1.69; 2.03). Intraobserver and interobserver variability were excellent. Maximum aorta diameter measured by the leading edge convention in end-diastole and the inner edge convention in mid-systole had similar values to a mild non-significant underestimation of the inner-to-inner method that permits them to be interchangeable when used in clinical practice.Maria Luz ServatoGisela Teixidó-TuráAnna Sabate-RotesLaura Galian-GayLaura GutiérrezFilipa ValenteRuben Fernandez-GaleraGuillem CasasAngela López-SainzM. Teresa González-AlujasAugusto Sao-AvilesIgnacio FerreiraJose Rodríguez-PalomaresArturo EvangelistaMDPI AGarticleaortaaortic dimensionsechocardiographyguideline’s recommendationsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5290, p 5290 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aorta aortic dimensions echocardiography guideline’s recommendations Medicine R
spellingShingle	aorta aortic dimensions echocardiography guideline’s recommendations Medicine R Maria Luz Servato Gisela Teixidó-Turá Anna Sabate-Rotes Laura Galian-Gay Laura Gutiérrez Filipa Valente Ruben Fernandez-Galera Guillem Casas Angela López-Sainz M. Teresa González-Alujas Augusto Sao-Aviles Ignacio Ferreira Jose Rodríguez-Palomares Arturo Evangelista Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?
description	Ascending aorta diameters have important clinical value in the diagnosis, follow-up, and surgical indication of many aortic diseases. However, there is no uniformity among experts regarding ascending aorta diameter quantification by echocardiography. The aim of this study was to compare maximum aortic root and ascending aorta diameters determined by the diastolic leading edge (DLE) and the systolic inner edge (SIE) conventions in adult and pediatric patients with inherited cardiovascular diseases. Transthoracic echocardiograms were performed in 328 consecutive patients (260 adults and 68 children). Aorta diameters were measured twice at the root and ascending aorta by the DLE convention following the 2015 American Society of Echocardiography (ASE) adult guidelines and the SIE convention following the 2010 ASE pediatric guidelines. Comparison of the diameters measured by the two conventions in the overall population showed a non-significant underestimation of the diameter measured by the SIE convention at root level of 0.28 mm (CI −1.36; 1.93) and at tubular ascending aorta level of 0.17 mm (CI −1.69; 2.03). Intraobserver and interobserver variability were excellent. Maximum aorta diameter measured by the leading edge convention in end-diastole and the inner edge convention in mid-systole had similar values to a mild non-significant underestimation of the inner-to-inner method that permits them to be interchangeable when used in clinical practice.
format	article
author	Maria Luz Servato Gisela Teixidó-Turá Anna Sabate-Rotes Laura Galian-Gay Laura Gutiérrez Filipa Valente Ruben Fernandez-Galera Guillem Casas Angela López-Sainz M. Teresa González-Alujas Augusto Sao-Aviles Ignacio Ferreira Jose Rodríguez-Palomares Arturo Evangelista
author_facet	Maria Luz Servato Gisela Teixidó-Turá Anna Sabate-Rotes Laura Galian-Gay Laura Gutiérrez Filipa Valente Ruben Fernandez-Galera Guillem Casas Angela López-Sainz M. Teresa González-Alujas Augusto Sao-Aviles Ignacio Ferreira Jose Rodríguez-Palomares Arturo Evangelista
author_sort	Maria Luz Servato
title	Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?
title_short	Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?
title_full	Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?
title_fullStr	Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?
title_full_unstemmed	Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?
title_sort	are aortic root and ascending aorta diameters measured by the pediatric versus the adult american society of echocardiography guidelines interchangeable?
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c3fe74ff77fc44b397719d064a2bae3d
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Are Aortic Root and Ascending Aorta Diameters Measured by the Pediatric versus the Adult American Society of Echocardiography Guidelines Interchangeable?

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