Imaging Modalities Employed in the TAVR Procedure With a Focus on CTA: What the Radiologist Needs to Know

Lina Karout; Rida Salman; Firas Ershaid; Fadi Sawaya; Alain S Abi-Ghanem

doi:10.1016/j.acra.2021.08.012

Imaging Modalities Employed in the TAVR Procedure With a Focus on CTA: What the Radiologist Needs to Know

Acad Radiol. 2022 Apr:29 Suppl 4:S69-S81. doi: 10.1016/j.acra.2021.08.012. Epub 2021 Sep 20.

Authors

Lina Karout¹, Rida Salman², Firas Ershaid¹, Fadi Sawaya³, Alain S Abi-Ghanem⁴

Affiliations

¹ Department of Radiology, American University of Beirut Medical Center, Lebanon. P.O.Box: 11-0236 Riad El-Solh, Beirut, 1107 2020, Lebanon.
² Edward B. Singleton Department of Radiology, Texas Children's Hospital and Baylor College of Medicine, 6701 Fannin St., Suite 470, Houston, TX 77030.
³ Department of Cardiology, American University of Beirut Medical Center, Lebanon. P.O.Box: 11-0236 Riad El-Solh, Beirut, 1107 2020, Lebanon.
⁴ Department of Radiology, American University of Beirut Medical Center, Lebanon. P.O.Box: 11-0236 Riad El-Solh, Beirut, 1107 2020, Lebanon. Electronic address: [email protected].

PMID: 34551883
DOI: 10.1016/j.acra.2021.08.012

Abstract

Rationale and objectives: Aortic stenosis (AS) is one of the most common valvular heart disease. Symptomatic AS is associated with a high mortality rate which prompts fast intervention. The introduction of transcatheter aortic valve replacement (TAVR) has drastically improved the outcome of high surgical risk for mortality patients with severe AS. However, this procedure requires the employment of multimodality imaging in the pre-procedural planning, intra-procedural optimization, and post-procedural follow-up stages. This also requires an accurate understanding of the indications, measurements, strength, and limitations of each imaging modality during the different TAVR stages.

Conclusion: In this review, we aim to outline to radiologists the evidence-based approach and indications of different imaging modalities through the pre, peri, and post TAVR stages.

Keywords: CT Angiography; Transcatheter Aortic Valve Implantation; Transesophageal Echocardiography; Transthoracic Echocardiography.

Publication types

Review

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Stenosis* / diagnostic imaging
Aortic Valve Stenosis* / surgery
Humans
Multimodal Imaging
Radiologists
Transcatheter Aortic Valve Replacement*
Treatment Outcome