How to Scan Patients With Severe Aortic Stenosis

Aortic stenosis (AS) is a common yet critical valvular pathology that requires precise diagnosis and severity assessment. This paper aims to provide a step-by-step echocardiographic guide for sonographers, trainees, and allied professionals to help with image acquisition and diagnosis. Assessment of AS involves obtaining high-quality images in multiple windows and various probes. Key challenges include measurement errors, misinterpretation of Doppler signals, improper alignment of the Doppler cursor, and poor-quality acoustic windows due to patient body habitus. A systematic approach to image acquisition with understanding of common pitfalls is essential for the imager and accurate diagnosis and management of AS.