CT in planning transcatheter aortic valve implantation procedures and risk assessment.


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Type
Article
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Authors
Yucel-Finn, A 
Nicol, E 
Leipsic, JA 
Weir-McCall, JR 
Abstract

For surgical aortic valve replacement, the Society of Thoracic Surgeons score (STSS) is the reference standard for the prediction of operative risk. In transcatheter aortic valve implantation (TAVI) though, where the procedure itself is minimally invasive, the traditional risk assessment is supplemented by CTA. Through a consistent approach to the acquisition of high-quality images and the standardised reporting of annular measurements and adverse root and vascular features, patients at risk of complications can be identified. In turn, this may allow for a personalised procedural approach and treatment strategies devised to potentially reduce or mitigate this risk. This article provides a systematic and standardised approach to pre-procedural work-up with computed tomography angiography (CTA) and explores the current state of evidence and future areas of development in this rapidly developing field.

Description
Keywords
Aortic Valve Stenosis, Computed Tomography Angiography, Humans, Risk Assessment, Transcatheter Aortic Valve Replacement
Journal Title
Clin Radiol
Conference Name
Journal ISSN
0009-9260
1365-229X
Volume Title
76
Publisher
Elsevier BV