Patient selection, procedural planning and interventional guidance for transcatheter aortic valve intervention

Antonio Mangieri, Alessandra Laricchia, Claudio Montalto, Mariano L. Palena, Andrea Fisicaro, Alberto Cereda, Alessandro Sticchi, Azeem Latib, Francesco Giannini, Arif A. Khokhar, Antonio Colombo

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Transcatheter aortic valve replacement (TAVR) is an established treatment for severe aortic stenosis across a broad spectrum of patient risk profiles. Preprocedural planning using multislice computed tomography (MSCT) is a fundamental component to ensure acute and long-term procedural success. MSCT can establish the procedural feasibility, the type vascular of approach as well as the device which is more likely to give a good result. Moreover, MSCT is a key tool to estimate the risk of potentially life-threatening complications. In this review, the role of MSCT for preprocedural TAVR planning will be discussed providing a panoramic overview of the key elements that should be considered when performing TAVR. Additionally, the adjunctive role of fluoroscopy and echocardiography to plan and guide a TAVR procedure will also be discussed.

Original languageEnglish (US)
Pages (from-to)671-683
Number of pages13
JournalMinerva Cardiology and Angiology
Volume69
Issue number6
DOIs
StatePublished - Dec 2021

Keywords

  • Echocardiography, transesophageal
  • Fluoroscopy
  • Multidetector computed tomography
  • Transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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