REVIEW  INTERVENTIONAL IMAGING 

Minerva Cardiology and Angiology 2021 December;69(6):720-34

DOI: 10.23736/S2724-5683.21.05696-9

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Patient selection, procedural planning and interventional guidance for non-valvular structural intervention

Federico DE MARCO ¹, Andrea ROMANO ² ✉, Matteo CASENGHI ¹, Sergio BERTI ²

¹ Department of Clinical and Interventional Cardiology, IRCCS Policlinico San Donato, Milan, Italy; ² Unit of Diagnostic and Interventional Cardiology, C.N.R. Reg. Toscana G. Monasterio Foundation, Ospedale del Cuore, Massa, Italy

Percutaneous non-valvular structural interventions, encompassing patent foramen ovale, atrial or ventricular septal defect closure and left atrial appendage closure, are usually performed in young and healthy patients and represent a valid alternative to pharmacological or surgical interventions. In order to minimize procedural and device related complications, a careful pre-procedural planning together with an accurate intra-procedural imaging are crucial to improve patient’s outcome. In this article, we review currently available evidence on patient selection, procedural planning and interventional guidance helping physician to determine who will derive the most benefit from the procedure.

KEY WORDS: Foramen ovale, patent; Heart septal defects, atrial; Heart septal defects, ventricular