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