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Presse Med. 2012 Jun;41(6 Pt 1):628-33. doi: 10.1016/j.lpm.2012.03.009. Epub 2012 Apr 24.

[Selection of patients for transcatheter aortic valve implantation].

[Article in French]

Author information

1
Hôpital Charles-Nicolle, CHU de Rouen, service de cardiologie, 76000 Rouen, France. Christophe.Tron@chu-rouen.fr

Abstract

A good selection of patients is a crucial step before transcatheter aortic valve implantation (TAVI) in order to select the good indications and choose the access route. TAVI should be considered only in patients with symptomatic severe aortic stenosis and either contraindication or high surgical risk. Indication for TAVI should be discussed in a multidisciplinary team meeting. Echocardiography and/or CT scan are mandatory to evaluate the aortic annulus size and select the good prosthesis size. The possibility of transfemoral implantation is evaluated by angiography and CT scan, and based on the arterial diameters, but also on the presence of tortuosities and arterial calcifications.

PMID:
22538202
DOI:
10.1016/j.lpm.2012.03.009
[Indexed for MEDLINE]

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