Computed tomography angiography for transcatheter aortic valve replacement

Nicole Wake, Kanako Kumamaru, Richard Prior, Frank J. Rybicki, Michael L. Steigner

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Background: Transcatheter aortic valve replacement(TAVR) is an established alternative to surgery for patients with severe, symptomatic aortic stenosis who are not suitable candidates for surgical replacement of the aortic valve. The computed tomography (CT) technologist has a critical role in the care of patients undergoing TAVR. Because image acquisition and postprocessing for TAVR planning are highly complex, it is important for CT technologists involved in the planning to understand clinical detail, protocols, potential pitfalls, and factors that may influence workflow. Purpose: To describe, from the CT technologist's point of view, the details of CT angiography acquisition and postprocessing at 1 institution for patients being screened for TAVR. Discussion: For TAVR patients, CT image acquisition and postprocessing is essential for a successful intervention. It is clinically essential to maintain and execute a detailed, standardized imaging approach. Conclusion: TAVR planning is among the most complex procedures in radiology. For these patients, meticulous image acquisition and image postprocessing protocols are paramount, and successful patient outcomes depend on attention to clinical detail, protocols, potential pitfalls, and factors that may influence workflow.

Original languageEnglish (US)
Pages (from-to)326-340
Number of pages15
JournalRadiologic Technology
Volume84
Issue number4
StatePublished - Mar 2013
Externally publishedYes

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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