Computed tomography imaging in preprocedural planning of transcatheter valvular heart interventions

Int J Cardiovasc Imaging. 2024 Jun;40(6):1163-1181. doi: 10.1007/s10554-024-03140-9. Epub 2024 May 23.

Abstract

Cardiac Computed Tomography (CCT) has become a reliable imaging modality in cardiology providing robust information on the morphology and structure of the heart with high temporal and isotropic spatial resolution. For the past decade, there has been a paradigm shift in the management of valvular heart disease since previously unfavorable candidates for surgery are now provided with less-invasive interventions. Transcatheter heart valve interventions provide a real alternative to medical and surgical management and are often the only treatment option for valvular heart disease patients. Successful transcatheter valve interventions rely on comprehensive multimodality imaging assessment. CCT is the mainstay imaging technique for preprocedural planning of these interventions. CCT is critical in guiding patient selection, choice of procedural access, device selection, procedural guidance, as well as allowing postprocedural follow-up of complications. This article aims to review the current evidence of the role of CCT in the preprocedural planning of patients undergoing transcatheter valvular interventions.

Keywords: 3-Dimensional imaging; Aortic valve; Computed tomography; Heart valve disease; Mitral valve; Transcatheter aortic valve replacement; Transcatheter valve repair/implantation.; Tricuspid valve.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization* / instrumentation
  • Clinical Decision-Making
  • Heart Valve Diseases* / diagnostic imaging
  • Heart Valve Diseases* / physiopathology
  • Heart Valve Diseases* / surgery
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valve Prosthesis Implantation* / instrumentation
  • Heart Valves / diagnostic imaging
  • Heart Valves / physiopathology
  • Heart Valves / surgery
  • Humans
  • Patient Selection*
  • Predictive Value of Tests*
  • Risk Factors
  • Tomography, X-Ray Computed
  • Transcatheter Aortic Valve Replacement / instrumentation
  • Treatment Outcome