Evolving computed tomography angiography for aortic valve replacement: Optimizing transcatheter and surgical therapies.
Andrew TullyStephanie TomJoe XieColin O'BrianPatrick GleasonKendra J GrubbPublished in: Journal of cardiac surgery (2022)
Transcatheter aortic valve replacement (TAVR) has transformed the treatment of aortic stenosis and pre-procedure planning relies heavily on advanced imaging. Multidetector computed tomography angiography, the "TAVR CT," facilitates essential planning steps of measuring the aortic root for valve sizing and feasibility and assessment of potential access vessels, making it the guideline gold standard in preprocedural TAVR work up. This Impact of Advanced Imaging Techniques on Cardiac Surgery article will examine the development of TAVR CT, illustrate the current impact and utility, and highlight potential areas of future growth. Clinicians who keep informed of these changes and can become proficient with TAVR CT analyses will offer patients the most optimal results and fuel future therapeutic growth.
Keyphrases
- aortic stenosis
- transcatheter aortic valve replacement
- aortic valve replacement
- aortic valve
- ejection fraction
- image quality
- transcatheter aortic valve implantation
- computed tomography
- dual energy
- left ventricular
- high resolution
- cardiac surgery
- contrast enhanced
- coronary artery
- end stage renal disease
- positron emission tomography
- current status
- chronic kidney disease
- newly diagnosed
- acute kidney injury
- palliative care
- mitral valve
- minimally invasive
- magnetic resonance imaging
- pulmonary artery
- silver nanoparticles
- climate change
- mass spectrometry
- aortic dissection
- smoking cessation