Multi-slice CT (MSCT) imaging in pre-trans catheter aortic valve implantation (TAVI) screening. How to perform and how to interpret.

Multi-slice CT (MSCT) imaging in pre-trans catheter aortic valve implantation (TAVI) screening. How to perform and how to interpret. Hellenic J Cardiol. 2017 Oct 27;: Authors: Latsios G, Spyridopoulos TN, Toutouzas K, Synetos A, Trantalis G, Stathogiannis K, Penesopoulou V, Oikonomou G, Brountzos E, Tousoulis D Abstract Aortic valve stenosis (AS) is the commonest valvular heart disease among elderly. Trans-catheter aortic valve implantation (TAVI) has become an established and effective alternative therapeutical procedure for inoperable and high risk patients with symptomatic AS. The procedural success is greatly dependent on a thorough pre- TAVI imaging screening. This requires a comprehensive and multi-modality approach, in which multi-slice computed tomography (MSCT) is the cornerstone in the selection of eligible patients, in choosing the appropriate prosthesis and its size, as well as in mapping the safest access route for the intervention. Based on our experience of more than 400 TAVI procedures and many more MSCT for screening purposes, we provide clinical and technical details on the use of MSCT pre-TAVI as well a brief review of the so far knowledge. PMID: 29111398 [PubMed - as supplied by publisher]
Source: Hellenic Journal of Cardiology - Category: Cardiology Tags: Hellenic J Cardiol Source Type: research