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Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach
Transcatheter aortic valve replacement (TAVR) has been validated as a new therapy for patients affected by severe symptomatic aortic stenosis who are not eligible for surgical intervention because of major contraindication or high operative risk. Patient selection for TAVR should be based not only o...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368671/ https://www.ncbi.nlm.nih.gov/pubmed/28400918 http://dx.doi.org/10.4330/wjc.v9.i3.212 |
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author | Cocchia, Rosangela D’Andrea, Antonello Conte, Marianna Cavallaro, Massimo Riegler, Lucia Citro, Rodolfo Sirignano, Cesare Imbriaco, Massimo Cappelli, Maurizio Gregorio, Giovanni Calabrò, Raffaele Bossone, Eduardo |
author_facet | Cocchia, Rosangela D’Andrea, Antonello Conte, Marianna Cavallaro, Massimo Riegler, Lucia Citro, Rodolfo Sirignano, Cesare Imbriaco, Massimo Cappelli, Maurizio Gregorio, Giovanni Calabrò, Raffaele Bossone, Eduardo |
author_sort | Cocchia, Rosangela |
collection | PubMed |
description | Transcatheter aortic valve replacement (TAVR) has been validated as a new therapy for patients affected by severe symptomatic aortic stenosis who are not eligible for surgical intervention because of major contraindication or high operative risk. Patient selection for TAVR should be based not only on accurate assessment of aortic stenosis morphology, but also on several clinical and functional data. Multi-Imaging modalities should be preferred for assessing the anatomy and the dimensions of the aortic valve and annulus before TAVR. Ultrasounds represent the first line tool in evaluation of this patients giving detailed anatomic description of aortic valve complex and allowing estimating with enough reliability the hemodynamic entity of valvular stenosis. Angiography should be used to assess coronary involvement and plan a revascularization strategy before the implant. Multislice computed tomography play a central role as it can give anatomical details in order to choice the best fitting prosthesis, evaluate the morphology of the access path and detect other relevant comorbidities. Cardiovascular magnetic resonance and positron emission tomography are emergent modality helpful in aortic stenosis evaluation. The aim of this review is to give an overview on TAVR clinical and technical aspects essential for adequate selection. |
format | Online Article Text |
id | pubmed-5368671 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-53686712017-04-11 Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach Cocchia, Rosangela D’Andrea, Antonello Conte, Marianna Cavallaro, Massimo Riegler, Lucia Citro, Rodolfo Sirignano, Cesare Imbriaco, Massimo Cappelli, Maurizio Gregorio, Giovanni Calabrò, Raffaele Bossone, Eduardo World J Cardiol Review Transcatheter aortic valve replacement (TAVR) has been validated as a new therapy for patients affected by severe symptomatic aortic stenosis who are not eligible for surgical intervention because of major contraindication or high operative risk. Patient selection for TAVR should be based not only on accurate assessment of aortic stenosis morphology, but also on several clinical and functional data. Multi-Imaging modalities should be preferred for assessing the anatomy and the dimensions of the aortic valve and annulus before TAVR. Ultrasounds represent the first line tool in evaluation of this patients giving detailed anatomic description of aortic valve complex and allowing estimating with enough reliability the hemodynamic entity of valvular stenosis. Angiography should be used to assess coronary involvement and plan a revascularization strategy before the implant. Multislice computed tomography play a central role as it can give anatomical details in order to choice the best fitting prosthesis, evaluate the morphology of the access path and detect other relevant comorbidities. Cardiovascular magnetic resonance and positron emission tomography are emergent modality helpful in aortic stenosis evaluation. The aim of this review is to give an overview on TAVR clinical and technical aspects essential for adequate selection. Baishideng Publishing Group Inc 2017-03-26 2017-03-26 /pmc/articles/PMC5368671/ /pubmed/28400918 http://dx.doi.org/10.4330/wjc.v9.i3.212 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Review Cocchia, Rosangela D’Andrea, Antonello Conte, Marianna Cavallaro, Massimo Riegler, Lucia Citro, Rodolfo Sirignano, Cesare Imbriaco, Massimo Cappelli, Maurizio Gregorio, Giovanni Calabrò, Raffaele Bossone, Eduardo Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach |
title | Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach |
title_full | Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach |
title_fullStr | Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach |
title_full_unstemmed | Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach |
title_short | Patient selection for transcatheter aortic valve replacement: A combined clinical and multimodality imaging approach |
title_sort | patient selection for transcatheter aortic valve replacement: a combined clinical and multimodality imaging approach |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368671/ https://www.ncbi.nlm.nih.gov/pubmed/28400918 http://dx.doi.org/10.4330/wjc.v9.i3.212 |
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