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REVIEW  INTERVENTIONAL IMAGING 

Minerva Cardiology and Angiology 2021 December;69(6):671-83

DOI: 10.23736/S2724-5683.21.05573-0

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

Antonio MANGIERI 1 , Alessandra LARICCHIA 1, Claudio MONTALTO 2, Mariano L. PALENA 1, Andrea FISICARO 1, Alberto CEREDA 1, Alessandro STICCHI 1, Azeem LATIB 3, Francesco GIANNINI 1, Arif A. KHOKHAR 1, Antonio COLOMBO 1

1 Cardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy; 2 Division of Cardiology, IRCCS San Matteo Polyclinic Foundation, Pavia, Italy; 3 Division of Cardiology, Montefiore Medical Center, New York, NY, USA



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.


KEY WORDS: Transcatheter aortic valve replacement; Multidetector computed tomography; Fluoroscopy; Echocardiography, transesophageal

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