Multidetector computed tomography in transcatheter aortic valve replacement: an update on technological developments and clinical applications.

Autor: Abd Alamir M; Department of Cardiology, Stony Brook University Hospital, Health Sciences Tower , Stony Brook, NY, USA., Nazir S; Department of Cardiology, University of Toledo , Toledo, OH, USA., Alani A; Loma Linda University , Loma Linda, CA, USA., Golub I; Department of Cardiology, Lundquist Institute , Torrance, CA, USA., Gilchrist IC Jr; Department of Cardiology, Stony Brook University Hospital, Health Sciences Tower , Stony Brook, NY, USA., Aslam F; Department of Cardiology, Stony Brook University Hospital, Health Sciences Tower , Stony Brook, NY, USA., Dhawan P; David Geffen School of Medicine at UCLA, Department of Surgery, Los Angeles County Harbor-UCLA Medical Center , Torrance, CA, USA., Changal K; Department of Cardiology, University of Toledo , Toledo, OH, USA., Ostra C; Department of Cardiology, University of Toledo , Toledo, OH, USA., Soni R; Department of Cardiology, University of Toledo , Toledo, OH, USA., Elzanaty A; Department of Cardiology, University of Toledo , Toledo, OH, USA., Budoff M; Department of Cardiology, Lundquist Institute , Torrance, CA, USA.
Jazyk: angličtina
Zdroj: Expert review of cardiovascular therapy [Expert Rev Cardiovasc Ther] 2020 Oct; Vol. 18 (10), pp. 709-722. Date of Electronic Publication: 2020 Nov 01.
DOI: 10.1080/14779072.2020.1837624
Abstrakt: Introduction: Transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of patients with underlying sever aortic valve stenosis across all spectrum of the disease. CT imaging is so crucial to the pre procedural planning, to incorporate the information from the CT imaging in the decision making intraprocedurally and to predict and identity the post procedural complications. Areas covered : In this article, we review available studies on CT role in TAVR procedure and provide update on the technological developments and clinical applications. Expert opinion : CT imaging, with its high resolution, and in particular its utilization in aortic annular measurements, bicuspid aortic valve assessment, hypoattenuated leaflet thickening and valve in valve therapy proved to be the ideal approach to study the mechanisms of aortic stenosis, detection of high-risk anatomy, more accurate risk stratification and thus to allow a personalized catheter based intervention of the affected patients.
Databáze: MEDLINE