L'imaging multimodale nell'impianto transcatetere della valvola aortica: Il ruolo fondamentale dell'ecocardiografia

Translated title of the contribution: Multimodal imaging of transcatheter aortic valve implantation: The fundamental role of echocardiography

Antonio Grimaldi, Francesco Maisano, Matteo Montorfano, Pietro Spagnolo, Azeem Latib, Giovanni La Canna, Ottavio Alfieri, Alberto Zangrillo, Antonio Colombo

Research output: Contribution to journalReview articlepeer-review

Abstract

Alternative percutaneous approaches to the management of symptomatic aortic stenosis in elderly and high-risk patients have become more attractive and raised profound interest in recent years. The superiority of transcatheter aortic valve implantation (TAVI) compared with medical therapy for patients deemed unsuitable for surgery has recently been established by the PARTNER trial, and preliminary randomized data in high-risk patients have confirmed that TAVI is non-inferior to surgical valve replacement in terms of safety and effectiveness. This finding will probably lead to an exponential increase in TAVI procedures over the next decade. In the clinical setting of the percutaneous approach, the choice of a specific valve is crucial to optimize the success rate and minimize the procedure-related complications and requires accurate preprocedural diagnostic assessment. According to the high comorbidities of candidates currently undergoing a TAVI procedure, a tailored diagnostic framework in the elderly population is highly recommended. The present review discusses the role of echocardiography in the setting of multimodality imaging before the TAVI procedure and throughout the entire process, from patient selection to procedural guidance and post-procedural followup, suggesting a practical algorithm necessary for the best clinical outcome.

Translated title of the contributionMultimodal imaging of transcatheter aortic valve implantation: The fundamental role of echocardiography
Original languageItalian
Pages (from-to)652-663
Number of pages12
JournalGiornale Italiano di Cardiologia
Volume12
Issue number10
DOIs
StatePublished - Oct 2011
Externally publishedYes

Keywords

  • Aortic stenosis
  • Echocardiography
  • Multimodality imaging

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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