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A Journal on Heart and Vascular Diseases

Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2014 April;62(2):177-91

language: English

Comprehensive multidisciplinary patient assessment and selection before TAVI procedure

Rezq A. 1, 2, 3, Godino C. 1, Montorfano M. 1, Covello D. 4, Colombo A. 1, 2

1 Cardio-Thoracic-Vascular Department, San Raffaele Institute, Milan, Italy;
2 Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus, Milan, Italy;
3 Department of Cardiology, Ain Shams University, Cairo, Egypt;
4 Department of Molecular Medicine, San Raffaele Institute, Milan, Italy


Aortic stenosis is a common disorder that affects nearly 5% of persons >75 years of age. Aortic valve replacement is indicated for symptomatic patients with severe aortic stenosis, as the prognosis of untreated patients is poor. Nevertheless, many patients with symptomatic severe aortic stenosis do not undergo surgical valve replacement, which has been attributed to comorbidities. Transcatheter aortic valve implantation (TAVI) is a novel method to treat selected high-risk patients with aortic stenosis. Patient screening and anatomic measurements of the aortic root are of great importance to ensure procedural success and appropriate patient selection. This review outlines comprehensive multidisciplinary assessment and selection of these patients and the evolving role of the echocardiogram and the multislice computed tomography in support of TAVI program.

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