Patient selection for transcatheter aortic valve implantation: patient risk profile and anatomical selection criteria

Arch Cardiovasc Dis. 2012 Mar;105(3):165-73. doi: 10.1016/j.acvd.2012.02.007. Epub 2012 Mar 15.

Abstract

Patient selection plays a crucial role in the success of transcatheter aortic valve implantation (TAVI). It requires meticulous attention to the smallest of details and needs to be performed in a systematic manner for every patient. In essence, the patient must be assessed from access to implantation site. Becoming over "complacent" and "routine" may lead to failure and impact patient safety. TAVI is indicated for high or prohibitive surgical risk patients with severe aortic stenosis. Some patients, however, are too high risk even for TAVI. In addition to patient risk evaluation, anatomical selection criteria need to be considered. Multimodality imaging, using a combination of angiography, echocardiography and multislice computed tomography, is necessary to determine the anatomical suitability for the procedure.

Publication types

  • Review

MeSH terms

  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Aortic Valve* / diagnostic imaging
  • Aortic Valve* / surgery
  • Cardiac Catheterization / methods*
  • Diagnostic Imaging / methods*
  • Heart Valve Prosthesis Implantation
  • Heart Valve Prosthesis*
  • Humans
  • Patient Safety
  • Patient Selection*
  • Prosthesis Design
  • Radiography
  • Risk Assessment / methods*
  • Ultrasonography