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Minerva Cardiology and Angiology 2021 Mar 11

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, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; 3 Division of Cardiology, Montefiore Medical Center, New York, NY, USA


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Transcatheter aortic valve replacement (TAVR) is an established treatment for severe aortic stenosis across a broad spectrum of patient risk profiles. Pre-procedural 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 pre-procedural 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; Multislice computed tomography, vascular access; Aortic annulus; Fluoroscopy; Transesophageal echocardiography

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