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Eur Heart J. 2014 Jun 21;35(24):1578-87. doi: 10.1093/eurheartj/eht569. Epub 2014 Jan 23.

Imaging to select and guide transcatheter aortic valve implantation.

Author information

1
University Hospital Ramón y Cajal, Carretera de Colmenar Km 9.100, Madrid 28034, Spain zamorano@secardiologia.es.
2
Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA University of Porto Medical School, Porto, Portugal.
3
University of Chicago Medical Center, Chicago, IL, USA.

Abstract

Transcatheter aortic valve implantation (TAVI) is indicated for patients with severe aortic stenosis and high or prohibitive surgical risk. Patients' selection requires clinical and anatomical selection criteria, being the later determined by multimodality imaging evaluation. Echocardiography, multislice computed tomography (MSCT), angiography, and cardiovascular magnetic resonance (CMR) are the methods available to determine the anatomical suitability for the procedure. Imaging assists in the selection of bioprosthesis type, prosthetic sizing and in the decision of the best vascular access. In this review, we present our critical appraisal on the use of imaging to best patients' selection and procedure guidance in TAVI.

KEYWORDS:

Aortic stenosis; Imaging; Transcatheter aortic valve implantation

PMID:
24459198
PMCID:
PMC4416118
DOI:
10.1093/eurheartj/eht569
[Indexed for MEDLINE]
Free PMC Article

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