Transcatheter aortic valve replacement role of multimodality imaging in common and complex clinical scenarios

Bax, J.J.; Delgado, V.; Hahn, R.T.; Leipsic, J.; Min, J.K.; Grayburn, P.; Sondergaard, L.; Yoon, S.H.; Windecker, S.

doi:doi:10.1016/j.jcmg.2018.10.037

Persistent URL of this record https://hdl.handle.net/1887/3232681

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Medicine / Leiden University Medical Centre (LUMC)

Bax, J.J.; Delgado, V.; Hahn, R.T.; Leipsic, J.; Min, J.K.; Grayburn, P.; ... ; Windecker, S. (2020)

Transcatheter aortic valve replacement role of multimodality imaging in common and complex clinical scenarios

Article / Letter to editor

Transcatheter aortic valve replacement (TAVR) is an established therapy for patients with symptomatic severe aortic stenosis. Technological advances and the learning curve have resulted in better procedural results in terms of hemodynamic valve performance and intermediate-term clinical outcomes. The integration of anatomical and functional information provided by multimodality imaging has improved size selection of TAVR prostheses, permitted better patient selection, and provided new insights in the performance of the TAVR prostheses at follow-up. Furthermore, the field of TAVR continues to develop and expand the technique to younger patients with lower risk on the one hand, and more complex clinical scenarios, on the other hand, such as degenerated aortic bioprostheses, bicuspid aortic valves, or pure native aortic regurgitation. The present review article summarizes how multimodality imaging can be integrated in TAVR in clinical (sometimes complex) scenarios that have not been...Show moreTranscatheter aortic valve replacement (TAVR) is an established therapy for patients with symptomatic severe aortic stenosis. Technological advances and the learning curve have resulted in better procedural results in terms of hemodynamic valve performance and intermediate-term clinical outcomes. The integration of anatomical and functional information provided by multimodality imaging has improved size selection of TAVR prostheses, permitted better patient selection, and provided new insights in the performance of the TAVR prostheses at follow-up. Furthermore, the field of TAVR continues to develop and expand the technique to younger patients with lower risk on the one hand, and more complex clinical scenarios, on the other hand, such as degenerated aortic bioprostheses, bicuspid aortic valves, or pure native aortic regurgitation. The present review article summarizes how multimodality imaging can be integrated in TAVR in clinical (sometimes complex) scenarios that have not been included in the landmark randomized clinical trials. (C) 2020 by the American College of Cardiology Foundation.Show less

aortic regurgitation

bicuspid aortic valve

echocardiography

multi-detector row computed tomography

transcatheter aortic valve replacement