An insight into transcatheter aortic valve implantation-a perspective from multidetector-computed tomography

Catheter Cardiovasc Interv. 2013 Dec 1;82(7):E952-8. doi: 10.1002/ccd.24624. Epub 2013 Mar 18.

Abstract

Transcatheter aortic valve implantation (TAVI) has now become an acceptable alternative to surgical aortic valve replacement for patients with severe aortic stenosis at high risk. The early enthusiasm for this technology has not diminished but rather has developed at an unprecedented rate over the last decade. Alongside the developments in implantation technique, transcatheter design, and postprocedural care, cardiac imaging modalities have also had to concurrently evolve to meet the perpetual demand for lower peri- and postprocedural complication rates. Although transthoracic and transesophageal echocardiography remain vital in patient's selection and periprocedural guidance, there is now emerging evidence that indicates that multidetector-computed tomography (MDCT) may also have an equally important role to play. The aim of the current review is to examine the modern role of MDCT in assessing patients with aortic stenosis being considered for TAVI.

Keywords: aortic stenosis; aortic valve; computed tomography; transcatheter aortic valve implantation.

Publication types

  • Editorial
  • Review

MeSH terms

  • Aortic Valve / diagnostic imaging*
  • Aortic Valve / pathology*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / therapy*
  • Calcinosis / diagnostic imaging
  • Calcinosis / therapy*
  • Cardiac Catheterization*
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Multidetector Computed Tomography*
  • Patient Selection
  • Predictive Value of Tests
  • Severity of Illness Index
  • Treatment Outcome

Supplementary concepts

  • Aortic Valve, Calcification of