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Regurgitant Fraction by PISA
Mitral Regurgitation
Calcs>Mitral Regurgitation>RF by PISA>1
Calculator
 Radius cm Jet VTI cm Vmax m/sec VA cm/sec Angle degrees MV Diameter cm MV VTI cm ERO cm2 RV mls SV mls RF %

How to get a Regurgitant Volume in Mitral Regurgitation.

Step 1:  Obtain a CFD of the MR Jet with a good PISA formation under zoomed view.  The ME 4CV, ME3CV, ME2CV, or ME AVLAX with the best and largest PISA formation should be used.

Step 2: Measure the Diameter of the PISA radius. The radius is from the center of the PISA formation, typically from the center of the valve, to the first aliasing velocity.  If the PISA is small, try slightly decreasing the aliasing velocity (VA) which will increase the size of the PISA formation.

Step 3: Obtain a VTI of the Regurgitant Jet by CWD.    From the flow profile the Vmax and the VTI of the regurgitant jet can be obtained by tracing the diastolic flow profile.

Step 4: Obtain the angle of the PISA formation. The angle is typically 180 degrees.