Transcatheter Aortic Valve Replacement Planning with Cardiac CT: Protocols and Practical Tips

The advent of transcatheter aortic valve replacement (TAVR) has provided a feasible treatment option for high surgical risk patients with severe aortic stenosis and increasingly is also being implemented in intermediate- and low-risk patients. As such, pre-procedure planning with multidetector compu...

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Bibliographic Details
Published inCurrent cardiovascular imaging reports Vol. 9; no. 5
Main Authors Soon, Jeanette, Naoum, Christopher, Blanke, Philipp, Leipsic, Jonathon
Format Journal Article
LanguageEnglish
Published New York Springer US 01.05.2016
Subjects
Cardiac Computed Tomography (TC Villines
Cardiology
Diagnostic Radiology
Imaging
Interventional Radiology
Medicine
Medicine & Public Health
Nuclear Medicine
Radiology
Section Editor
Topical Collection on Cardiac Computed Tomography
Ultrasound
Transcatheter aortic valve implantation
Aortic stenosis
Aortic annulus measurement
Protocols
Computed tomography
Transcatheter aortic valve replacement
Iliofemoral assessment
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Summary:The advent of transcatheter aortic valve replacement (TAVR) has provided a feasible treatment option for high surgical risk patients with severe aortic stenosis and increasingly is also being implemented in intermediate- and low-risk patients. As such, pre-procedure planning with multidetector computed tomography (MDCT) is now widespread and represents an integral component in the success of this treatment with contributions to transcatheter valve selection, sizing and identification of adverse annular root features. This review provides insight into the CT protocols utilised to acquire meaningful data for analysis, as well as methods, practical tips and rationale for recommended aortic root and aortoiliofemoral measurements.
ISSN:1941-9066
1941-9074
DOI:10.1007/s12410-016-9376-y