Designing the Optimal Procedure: Role of CT Scan in the Planning of Transcatheter Structural Heart Interventions

Autor: Simone Circhetta, Edoardo Nobile, Aurelio De Filippis, Luisa Vicchio, Annunziata Nusca, Domenico De Stefano, Francesco Piccirillo, Valeria Cammalleri, Fabio Mangiacapra, Elisabetta Ricottini, Rosetta Melfi, Raffaele Rinaldi, Carlo Cosimo Quattrocchi, Francesco Grigioni, Gian Paolo Ussia
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Applied Sciences, Vol 13, Iss 3, p 1589 (2023)
Druh dokumentu: article
ISSN: 13031589
2076-3417
DOI: 10.3390/app13031589
Popis: Computed tomography (CT) scanning has recently assumed a first-pillar role in the preoperative planning of patients undergoing transcatheter structural heart procedures (e.g., transcatheter aortic valve implantation, TAVI; MitraClip; Triclip; left atrial appendage occlusion, LAAO). A careful preprocedural assessment is crucial for achieving the best possible result, and, currently, CT represents the paramount technique to obtain morphological data on cardiac and vessel structures, thus allowing to choose the most appropriate vascular approach, the type and size of devices, and all the required steps to meet procedural expectations. The image reconstruction accuracy also provides information to predict potential complications such as misplacements and leakages. This review aims to describe the role of CT in the decision-making approach of patients undergoing structural heart interventions and expand the clinicians’ understanding of the benefits and drawbacks of this imaging technique.
Databáze: Directory of Open Access Journals