Transcatheter indirect mitral annuloplasty induces annular and left atrial remodelling in secondary mitral regurgitation

Aims Mitral annuloplasty using the Carillon Mitral Contour System (CMCS) reduces secondary mitral regurgitation (SMR) and leads to reverse left ventricular remodelling. The aim of this study was to evaluate the effect of the CMCS on the mitral valve annulus (MA) and left atrial volume (LAV). Methods and results We retrospectively evaluated the data of all patients treated with the CMCS at our centre. Using transthoracic echocardiography, MA diameters were assessed by measuring the anterolateral to posteromedial extend (ALPM) and the anterior to posterior (AP) dimensions, respectively. Also, LAV and left ventricular end‐diastolic volume (LVEDV) were assessed. Patients were examined at three time points: baseline, at 20–60 days (30dFUP), and at 9–15 months (1yFUP), using paired analysis. From July 2014 until March 2019, 75 cases of severe SMR were treated using CMCS. Cases in which other devices were used in combination (COMBO therapy, n = 35) or in which the device could not be implanted (implant failure, n = 3) were excluded, leaving 37 patients in the present analysis. Analysis at 30dFUP showed a significant reduction of 16% in the mean ALPM diameter (7.27 ± 5.40 mm) and 15% in the AP diameter (6.57 ± 5.33 mm). Analysis of LAV also showed a significant reduction of 21% (36.61 ± 82.67 mL), with no significant change in LVEDV. At 1yFUP, the reduction of both the mean ALPM diameter of 14% (6.24 ± 5.70 mm) and the mean AP diameter of 12% (5.46 ± 4.99 mm) remained significant and stable. The reduction in LAV was also maintained at 23% (37.03 ± 56.91 mL). LAV index was significantly reduced by 17% at 30dFUP (15.44 ± 40.98 mL/m2) and by 13% at 1yFUP (11.56 ± 31.87 mL/m2), respectively. LVEDV index showed no significant change at 30dFUP and a non‐significant 10% reduction at 1yFUP (17.75 ± 58.79 mL/m2). Conclusions The CMCS successfully treats symptomatic SMR with a stable reduction of not only the AP diameter of the MA, but the current study also demonstrates an additional reduction of the ALPM dimension at both 30dFUP and 1yFUP. We have also shown for the first time that LAV and LAV index are significantly reduced at both 30dFUP and 1yFUP and a non‐significant positive remodelling of the LVEDV. This positive left atrial remodelling has not been looked for and demonstrated in earlier randomized studies of CMCS

Beam-Normal Single Spin Asymmetry in Elastic Electron Scattering off 28^{28}Si and 90^{90}Zr

We report on a new measurement of the beam-normal single spin asymmetry $A_{\mathrm{n}}$ in the elastic scattering of 570 MeV transversely polarized electrons off $^{28}$Si and $^{90}$Zr at $Q^{2}=0.04\, \mathrm{GeV}^2/c^2$. The studied kinematics allow for a comprehensive comparison with former results on $^{12}$C. No significant mass dependence of the beam-normal single spin asymmetry is observed in the mass regime from $^{12}$C to $^{90}$Zr.Comment: Submitted for publication to Physics Letters

Neochord anterior leaflet treatment to facilitate transcatheter mitral valve replacement with 3D real-time echocardiography

International audienceNo abstract availabl

Vertical Beam Polarization at MAMI

International audienceFor the first time a vertically polarized electron beam has been used for physics experiments at MAMI in the energy range between 180 and 855 MeV. The beam-normal single-spin asymmetry An , which is a direct probe of higher-order photon exchange beyond the first Born approximation, has been measured in the reaction C12(e→,e′)C12 . Vertical polarization orientation was necessary to measure this asymmetry with the existing experimental setup. In this paper we describe the procedure to orient the electron polarization vector vertically, and the concept of determining both its magnitude and orientation with the available setup. A sophisticated method has been developed to overcome the lack of a polarimeter setup sensitive to the vertical polarization component

First Measurement of the Q2 Dependence of the Beam-Normal Single Spin Asymmetry for Elastic Scattering off Carbon

We report on the first Q2-dependent measurement of the beam-normal single spin asymmetry An in the elastic scattering of 570 MeV vertically polarized electrons off 12C. We cover the Q2 range between 0.02 and 0.05 GeV2=c2 and determine An at four different Q2 values. The experimental results are compared to a theoretical calculation that relates An to the imaginary part of the two-photon exchange amplitude. The result emphasizes that the Q2 behavior of An given by the ratio of the Compton to charge form factors cannot be treated independently of the target nucleus